MARISSA NICOLE CLARK - Pharmacist License in Missouri | # 049181937

MARISSA NICOLE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181937

License Status

NOT RENEWED

Business

N

First Name

MARISSA

Middle

NICOLE

Last Name

CLARK

Business Name

MARISSA NICOLE CLARK

Original Issue Date

02/04/2008

Effective Date

02/04/2008

Expiration Date

03/31/2009

State

MO

Ever Disciplined

N

LastModifiedDate

05/06/2009