DOUGLAS LEE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055206

License Status

NOT RENEWED

Business

First Name

DOUGLAS LEE

Last Name

CLARK

Business Name

DOUGLAS LEE CLARK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

TOLUCA

State

Zip

61369

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/17/2005