ATHENA LAUREN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246470

License Status

NOT RENEWED

Business

First Name

ATHENA

Middle

LAUREN

Last Name

CLARK

Business Name

ATHENA LAUREN CLARK

Original Issue Date

11/21/2016

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019