ALEXANDRA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211336

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

CLARK

Prefix

Business Name

ALEXANDRA M CLARK

Original Issue Date

05/28/2012

Effective Date

05/28/2012

Expiration Date

03/31/2013

City

FLAT ROCK

State

Zip

62427

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/06/2013