TIMA M CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112674

License Status

INACTIVE

Business

First Name

TIMA M

Last Name

CLARK

Business Name

TIMA M CLARK

Original Issue Date

12/06/1995

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

01/06/2009