PETER D CLARKE II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210165

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

CLARKE II

Prefix

Business Name

PETER D CLARKE II

Original Issue Date

04/05/2012

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019