KIMBERLY S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113612

License Status

NOT RENEWED

Business

First Name

KIMBERLY S

Last Name

CLARK

Business Name

KIMBERLY S CLARK

Original Issue Date

03/09/1996

Effective Date

03/09/1996

Expiration Date

03/31/1998

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005