NANCY WALTHALL CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165103

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

WALTHALL

Last Name

CLARK

Business Name

NANCY WALTHALL CLARK

Original Issue Date

11/18/2005

Effective Date

11/18/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006