ANGELA J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113919

License Status

NOT RENEWED

Business

First Name

ANGELA J

Last Name

CLARK

Business Name

ANGELA J CLARK

Original Issue Date

04/04/1996

Effective Date

04/04/1996

Expiration Date

03/31/2004

City

PHOENIX

State

Zip

85028

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/20/2005