Mary Beth Clark
InactiveIllinois license 049059546
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049059546
- Status
- Inactive (Cancelled)
- First issued
- May 24, 1973
- Expired
- January 1, 1997
- License holder
- Mary Beth Clark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/24/1973
Contact
Rockford, IL 61111
Winnebago County