BRENDA L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087240

License Status

NOT RENEWED

Business

First Name

BRENDA L

Last Name

CLARK

Business Name

BRENDA L CLARK

Original Issue Date

07/09/1988

Effective Date

07/09/1988

Expiration Date

03/31/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1999009645

Action

Revocation

Discipline Start Date

01/03/2001

Discipline Reason

Diverted Dexedrine, a controlled substance, from her pharmacy employer.