VICTORIA L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181512

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

Last Name

CLARK

Prefix

Business Name

VICTORIA L CLARK

Original Issue Date

01/11/2008

Effective Date

11/13/2013

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014