DEBRA K CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219655

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

CLARK

Prefix

Business Name

DEBRA K CLARK

Original Issue Date

07/30/2013

Effective Date

07/30/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014