CAROL ANN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118434

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

CLARK

Business Name

CAROL ANN CLARK

Original Issue Date

08/07/1997

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022