TABITHA R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165022

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

CLARK

Business Name

TABITHA R CLARK

Original Issue Date

11/16/2005

Effective Date

04/04/2016

Expiration Date

03/31/2017

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017