LILLIE B CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065918

License Status

NOT RENEWED

Business

First Name

LILLIE B

Last Name

CLARK

Business Name

LILLIE B CLARK

Original Issue Date

08/13/1976

Effective Date

08/13/1976

Expiration Date

03/31/1995

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005