KELLY D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087567

License Status

NOT RENEWED

Business

First Name

KELLY D

Last Name

CLARK

Business Name

KELLY D CLARK

Original Issue Date

08/13/1988

Effective Date

08/13/1988

Expiration Date

03/31/1993

City

HEROD

State

Zip

62947

County

POPE

Ever Disciplined

LastModifiedDate

10/17/2005