MELANIE R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163227

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

CLARK

Business Name

MELANIE R CLARK

Original Issue Date

08/24/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ASHTON

State

Zip

61006

County

LEE

Ever Disciplined

LastModifiedDate

05/14/2007