KRISTI KAYE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201553

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

KAYE

Last Name

CLARK

Business Name

KRISTI KAYE CLARK

Original Issue Date

11/15/2010

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

07/20/2021