BRUCE THOMAS CLARK JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149217

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

THOMAS

Last Name

CLARK

Suffix

Business Name

BRUCE THOMAS CLARK JR

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/20/2005