ASHLEY F LARCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155651

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

LARCK

Business Name

ASHLEY F LARCK

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2006

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006