CORAZON J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066517

License Status

NOT RENEWED

Business

First Name

CORAZON J

Last Name

CLARK

Business Name

CORAZON J CLARK

Original Issue Date

12/10/1976

Effective Date

12/10/1976

Expiration Date

03/31/1989

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005