MARK ROBERT CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075532

License Status

NOT RENEWED

Business

First Name

MARK ROBERT

Last Name

CLARK

Business Name

MARK ROBERT CLARK

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005