CONNIE BETH CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079157

License Status

NOT RENEWED

Business

First Name

CONNIE BETH

Last Name

CLARK

Business Name

CONNIE BETH CLARK

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

03/31/1997

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005