DEANNA L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187782

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

CLARK

Business Name

DEANNA L CLARK

Original Issue Date

10/20/2008

Effective Date

01/26/2010

Expiration Date

03/31/2011

City

VANDALIA

State

Zip

01111

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/12/2011