SHAYLEA D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207703

License Status

NOT RENEWED

Business

First Name

SHAYLEA

Middle

Last Name

CLARK

Business Name

SHAYLEA D CLARK

Original Issue Date

11/08/2011

Effective Date

03/17/2015

Expiration Date

03/31/2016

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/20/2016