MARY ALICE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176687

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALICE

Last Name

CLARK

Business Name

MARY ALICE CLARK

Original Issue Date

05/30/2007

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/12/2011