JUDY L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059866

License Status

NOT RENEWED

Business

First Name

JUDY L

Last Name

CLARK

Business Name

JUDY L CLARK

Original Issue Date

07/06/1973

Effective Date

07/06/1973

Expiration Date

01/01/1997

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005