SUSAN J CLARK - Pharmacist License in Illinois | # 049172558

SUSAN J CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172558

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

J

Last Name

CLARK

Business Name

SUSAN J CLARK

Original Issue Date

11/15/2006

Effective Date

03/18/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017