ALYSSEN LEE CLARK - Pharmacist License in Illinois | # 049242407

ALYSSEN LEE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242407

License Status

NOT RENEWED

Business

N

First Name

ALYSSEN

Middle

LEE

Last Name

CLARK

Business Name

ALYSSEN LEE CLARK

Original Issue Date

06/13/2016

Effective Date

03/22/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021