JAN M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091916

License Status

NOT RENEWED

Business

First Name

JAN M

Last Name

CLARK

Business Name

JAN M CLARK

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

03/31/2003

City

GALVA

State

Zip

61434

County

KNOX

Ever Disciplined

LastModifiedDate

10/20/2005