ROBERT B CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025243

License Status

INACTIVE

Business

First Name

ROBERT B

Last Name

CLARK

Business Name

ROBERT B CLARK

Original Issue Date

01/01/1997

Effective Date

01/23/2012

Expiration Date

03/31/2014

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/09/2014