JOSHUA T CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170119

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

CLARK

Business Name

JOSHUA T CLARK

Original Issue Date

07/21/2006

Effective Date

07/21/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007