CYNTHIA MARIE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065496

License Status

NOT RENEWED

Business

First Name

CYNTHIA MARIE

Last Name

CLARK

Business Name

CYNTHIA MARIE CLARK

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005