DEBRA L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066299

License Status

NOT RENEWED

Business

First Name

DEBRA L

Last Name

CLARK

Business Name

DEBRA L CLARK

Original Issue Date

10/22/1976

Effective Date

10/22/1976

Expiration Date

03/31/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005