AMELIA KAY CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143963

License Status

NOT RENEWED

Business

First Name

AMELIA

Middle

KAY

Last Name

CLARK

Business Name

AMELIA KAY CLARK

Original Issue Date

08/01/2002

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010