MICHAEL J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075064

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

CLARK

Business Name

MICHAEL J CLARK

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

03/31/1986

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/17/2005