CANDACE R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111684

License Status

NOT RENEWED

Business

First Name

CANDACE R

Last Name

CLARK

Business Name

CANDACE R CLARK

Original Issue Date

09/11/1995

Effective Date

09/11/1995

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005