GRAYDON MIKE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118301

License Status

NOT RENEWED

Business

First Name

GRAYDON

Middle

MIKE

Last Name

CLARK

Business Name

GRAYDON MIKE CLARK

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

03/31/1998

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005