SANDI K CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211198

License Status

NOT RENEWED

Business

First Name

SANDI

Middle

Last Name

CLARK

Prefix

Business Name

SANDI K CLARK

Original Issue Date

05/21/2012

Effective Date

01/10/2013

Expiration Date

03/31/2014

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2014