ANNE MARIE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107281

License Status

NOT RENEWED

Business

First Name

ANNE MARIE

Last Name

CLARK

Business Name

ANNE MARIE CLARK

Original Issue Date

06/21/1994

Effective Date

06/21/1994

Expiration Date

03/31/1996

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005