ALVITA CARISSA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167670

License Status

NOT RENEWED

Business

First Name

ALVITA

Middle

CARISSA

Last Name

CLARK

Business Name

ALVITA CARISSA CLARK

Original Issue Date

04/11/2006

Effective Date

04/07/2020

Expiration Date

03/31/2021

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021