TABITHA R CLARK - Pharmacist License in Illinois | # 049165022

TABITHA R CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165022

License Status

NOT RENEWED

Business

N

First Name

TABITHA

Middle

R

Last Name

CLARK

Business Name

TABITHA R CLARK

Original Issue Date

11/16/2005

Effective Date

04/04/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017