MICHELE M DENNIS CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209638

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

DENNIS CLARK

Business Name

MICHELE M DENNIS CLARK

Original Issue Date

03/08/2012

Effective Date

01/09/2013

Expiration Date

03/31/2014

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/06/2014