ANDREA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206844

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

CLARK

Prefix

Business Name

ANDREA CLARK

Original Issue Date

09/22/2011

Effective Date

03/26/2012

Expiration Date

03/31/2013

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013