SUSAN M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178647

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARK

Business Name

SUSAN M CLARK

Original Issue Date

08/22/2007

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2014