Kevin Shane Clark

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049114650

Status

Expired (Not Renewed)

First issued

July 13, 1996

Expired

March 31, 1997

License holder

Kevin Shane Clark

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

07/13/1996

Other Illinois licenses under this name

• IL
  Kevin Shane Clark

  License 085003431

  Licensed Physician Assistant
  Expired

  Belleville, IL

  Expired Mar 1, 2018
• IL
  Kevin Shane Clark

  License 38*****19

  Physician Assistant Controlled Substance
  Expired

  Belleville, IL

  Expired Mar 1, 2018

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