COURTNIE J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177703

License Status

NOT RENEWED

Business

First Name

COURTNIE

Middle

Last Name

CLARK

Business Name

COURTNIE J CLARK

Original Issue Date

07/11/2007

Effective Date

03/18/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/03/2017