THOMAS R CLARK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062452

License Status

CANCELLED

Business

First Name

THOMAS R

Last Name

CLARK

Business Name

THOMAS R CLARK

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

01/01/1997

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/17/2005