LAURA LYNN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138748

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

LYNN

Last Name

CLARK

Business Name

LAURA LYNN CLARK

Original Issue Date

10/18/2001

Effective Date

10/18/2001

Expiration Date

03/31/2002

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

12/06/2005