VICKI CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199760

License Status

NOT RENEWED

Business

First Name

VICKI

Last Name

CLARK

Business Name

VICKI CLARK

Original Issue Date

08/04/2010

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012