AZIZA CLARK - Pharmacist License in Illinois | # 049276906

AZIZA CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276906

License Status

NOT RENEWED

Business

N

First Name

AZIZA

Last Name

CLARK

Business Name

AZIZA CLARK

Original Issue Date

10/23/2020

Effective Date

10/23/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021