CONNIE L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177039

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

CLARK

Business Name

CONNIE L CLARK

Original Issue Date

06/14/2007

Effective Date

02/25/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011