MARK S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055763

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

CLARK

Business Name

MARK S CLARK

Original Issue Date

01/01/1997

Expiration Date

03/31/1991

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005