JENNA E CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181202

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

Last Name

CLARK

Business Name

JENNA E CLARK

Original Issue Date

12/19/2007

Effective Date

12/19/2007

Expiration Date

03/31/2008

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008