KRYSTLE ROSE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257183

License Status

NOT RENEWED

Business

First Name

KRYSTLE

Middle

ROSE

Last Name

CLARK

Business Name

KRYSTLE ROSE CLARK

Original Issue Date

04/02/2018

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

DAVENPORT

State

Zip

52804

Ever Disciplined

LastModifiedDate

07/27/2022