AUDRA KAYE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117468

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

KAYE

Last Name

CLARK

Business Name

AUDRA KAYE CLARK

Original Issue Date

05/05/1997

Effective Date

12/17/2014

Expiration Date

03/31/2015

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

04/14/2015