ANDREA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217688

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

CLARK

Prefix

Business Name

ANDREA M CLARK

Original Issue Date

05/01/2013

Effective Date

02/22/2021

Expiration Date

05/31/2022

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

07/27/2022