TYRONE EDWDWARD CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167526

License Status

NOT RENEWED

Business

First Name

TYRONE

Middle

EDWDWARD

Last Name

CLARK

Business Name

TYRONE EDWDWARD CLARK

Original Issue Date

04/10/2006

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60660

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021