RANDALL W CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099936

License Status

NOT RENEWED

Business

First Name

RANDALL W

Last Name

CLARK

Business Name

RANDALL W CLARK

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

03/31/1993

City

MCLEAN

State

Zip

61754

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005