ANDREW D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186654

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

CLARK

Business Name

ANDREW D CLARK

Original Issue Date

08/27/2008

Effective Date

02/11/2016

Expiration Date

03/31/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017