GENETTA LATRICE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228483

License Status

NOT RENEWED

Business

First Name

GENETTA

Middle

LATRICE

Last Name

CLARK

Business Name

GENETTA LATRICE CLARK

Original Issue Date

10/14/2014

Effective Date

03/31/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017