CHARITA C CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169603

License Status

NOT RENEWED

Business

First Name

CHARITA

Middle

Last Name

CLARK

Business Name

CHARITA C CLARK

Original Issue Date

06/26/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2009