ANDREA M CLARK - Pharmacist License in Illinois | # 049217688

ANDREA M CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217688

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

M

Last Name

CLARK

Prefix

MR

Business Name

ANDREA M CLARK

Original Issue Date

05/01/2013

Effective Date

02/22/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022