De Ella L Clark
InactiveIllinois license 049071385
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049071385
- Status
- Inactive (Cancelled)
- First issued
- June 22, 1979
- Expired
- March 31, 1984
- License holder
- De Ella L Clark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/22/1979
Contact
Chicago, IL 60620
Cook County