ELISA MARIA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210229

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

MARIA

Last Name

CLARK

Business Name

ELISA MARIA CLARK

Original Issue Date

04/09/2012

Effective Date

01/16/2015

Expiration Date

03/31/2016

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/20/2016