PATRICIA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218399

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

CLARK

Prefix

Business Name

PATRICIA M CLARK

Original Issue Date

06/02/2013

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015