THOMAS R CLUBBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153461

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

CLUBBS

Business Name

THOMAS R CLUBBS

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

03/31/2005

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005