GENETTA LATRICE CLARK - Pharmacist License in Illinois | # 049228483

GENETTA LATRICE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228483

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017