MARY J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146443

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

CLARK

Business Name

MARY J CLARK

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005