TIFFONEY A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179092

License Status

NOT RENEWED

Business

First Name

TIFFONEY

Middle

Last Name

CLARK

Business Name

TIFFONEY A CLARK

Original Issue Date

09/07/2007

Effective Date

03/01/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013