KATHY J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225601

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

CLARK

Prefix

Business Name

KATHY J CLARK

Original Issue Date

06/04/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016