DANIELLE R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195770

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

CLARK

Business Name

DANIELLE R CLARK

Original Issue Date

12/09/2009

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/20/2016