Russell Alan Clark
ExpiredIllinois license 049113877
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049113877
- Status
- Expired (Not Renewed)
- First issued
- April 1, 1996
- Expired
- March 31, 1997
- License holder
- Russell Alan Clark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/01/1996
Contact
Elmwood, IL 61529
Peoria County