SUSAN J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172558

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARK

Business Name

SUSAN J CLARK

Original Issue Date

11/15/2006

Effective Date

03/18/2016

Expiration Date

03/31/2017

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017