DAVID B CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067410

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

CLARK

Business Name

DAVID B CLARK

Original Issue Date

06/03/1977

Effective Date

06/03/1977

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

60311

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005