HALEY R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206341

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

CLARK

Business Name

HALEY R CLARK

Original Issue Date

08/31/2011

Effective Date

08/31/2011

Expiration Date

03/31/2012

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/07/2012