GREGORY A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092169

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

CLARK

Business Name

GREGORY A CLARK

Original Issue Date

01/30/1990

Effective Date

01/30/1990

Expiration Date

03/31/1995

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/17/2005