Antonio Lamont Clark
ExpiredIllinois license 049119765
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049119765
- Status
- Expired (Not Renewed)
- First issued
- January 8, 1998
- Expired
- March 31, 1999
- License holder
- Antonio Lamont Clark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/08/1998
Contact
Peoria, IL 61614
Peoria County