CLARK D SMITH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064774

License Status

CANCELLED

Business

First Name

CLARK D

Last Name

SMITH

Business Name

CLARK D SMITH

Original Issue Date

01/23/1976

Effective Date

01/23/1976

Expiration Date

01/01/1997

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

07/12/2007