MISTI CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292962

License Status

NOT RENEWED

Business

First Name

MISTI

Last Name

CLARK

Business Name

MISTI CLARK

Original Issue Date

10/08/2008

Effective Date

10/08/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010