CLYDE EUGENE SPARKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023369

License Status

INACTIVE

Business

First Name

CLYDE EUGENE

Last Name

SPARKS

Business Name

CLYDE EUGENE SPARKS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

HEBER SPRINGS

State

Zip

72543

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/17/2005