KELLEE LANEE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238341

License Status

NOT RENEWED

Business

First Name

KELLEE

Middle

LANEE

Last Name

CLARK

Business Name

KELLEE LANEE CLARK

Original Issue Date

12/15/2015

Effective Date

03/23/2017

Expiration Date

03/31/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018