BRANDIN DEMETRIUS CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197484

License Status

NOT RENEWED

Business

First Name

BRANDIN

Middle

DEMETRIUS

Last Name

CLARK

Business Name

BRANDIN DEMETRIUS CLARK

Original Issue Date

03/25/2010

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011