MELANIE S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135529

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

CLARK

Business Name

MELANIE S CLARK

Original Issue Date

04/02/2001

Effective Date

04/02/2001

Expiration Date

03/31/2002

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

12/06/2005