KRISTIN N CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163278

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

Last Name

CLARK

Business Name

KRISTIN N CLARK

Original Issue Date

08/26/2005

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

TEMPE

State

Zip

85283

Ever Disciplined

LastModifiedDate

01/12/2018