ANDREA N CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186774

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

CLARK

Prefix

Business Name

ANDREA N CLARK

Original Issue Date

09/02/2008

Effective Date

09/02/2008

Expiration Date

03/31/2009

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009