CLAUDIA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207573

License Status

NOT RENEWED

Business

First Name

CLAUDIA

Middle

Last Name

CLARK

Prefix

Business Name

CLAUDIA M CLARK

Original Issue Date

11/01/2011

Effective Date

11/01/2011

Expiration Date

03/31/2012

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/07/2012