LESLIE D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196473

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

CLARK

Business Name

LESLIE D CLARK

Original Issue Date

01/27/2010

Effective Date

01/27/2010

Expiration Date

03/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011