ASHLEY D CLARK - Pharmacist License in Illinois | # 049201403

ASHLEY D CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201403

License Status

NOT RENEWED

Business

N

First Name

ASHLEY

Middle

D

Last Name

CLARK

Business Name

ASHLEY D CLARK

Original Issue Date

11/05/2010

Effective Date

11/05/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011