JUSTIN L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202832

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

CLARK

Business Name

JUSTIN L CLARK

Original Issue Date

02/21/2011

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/06/2013