KEVIN R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224894

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

CLARK

Business Name

KEVIN R CLARK

Original Issue Date

04/29/2014

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016