MATTHEW S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194915

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

CLARK

Business Name

MATTHEW S CLARK

Original Issue Date

10/19/2009

Effective Date

10/19/2009

Expiration Date

03/31/2010

City

DALTON CITY

State

Zip

61925

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/04/2010