HEATHER MARIE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197943

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

CLARK

Business Name

HEATHER MARIE CLARK

Original Issue Date

04/20/2010

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021