BETH A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107953

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

CLARK

Business Name

BETH A CLARK

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

03/31/1999

City

PEARL CITY

State

Zip

61062

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005