CHARLES OTTIS CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028297

License Status

INACTIVE

Business

First Name

CHARLES OTTIS

Last Name

CLARK

Business Name

CHARLES OTTIS CLARK

Original Issue Date

01/01/1997

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/04/2020