MELODIE A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082108

License Status

NOT RENEWED

Business

First Name

MELODIE A

Last Name

CLARK

Business Name

MELODIE A CLARK

Original Issue Date

01/16/1986

Effective Date

01/16/1986

Expiration Date

03/31/1991

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005