INDIA N CLEMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109307

License Status

NOT RENEWED

Business

First Name

INDIA N

Last Name

CLEMONS

Business Name

INDIA N CLEMONS

Original Issue Date

01/17/1995

Effective Date

01/17/1995

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005