ROBERT E CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062400

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

CLARK

Business Name

ROBERT E CLARK

Original Issue Date

10/18/1974

Effective Date

10/18/1974

Expiration Date

03/31/1984

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005