NANCY K DECLERCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130990

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

DECLERCK

Business Name

NANCY K DECLERCK

Original Issue Date

05/31/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

05/14/2007