KAITLYN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178596

License Status

NOT RENEWED

Business

First Name

KAITLYN

Last Name

CLARK

Business Name

KAITLYN CLARK

Original Issue Date

08/21/2007

Effective Date

01/23/2009

Expiration Date

03/31/2010

City

ESSEX

State

Zip

60935

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010