LAURA I CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195465

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

CLARK

Prefix

Business Name

LAURA I CLARK

Original Issue Date

11/20/2009

Effective Date

11/20/2009

Expiration Date

03/31/2010

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010