DAWN MICHELLE CLUCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154459

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MICHELLE

Last Name

CLUCK

Business Name

DAWN MICHELLE CLUCK

Original Issue Date

05/21/2004

Effective Date

03/02/2021

Expiration Date

05/31/2022

City

TILDEN

State

Zip

62292

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/27/2022