ALEXANDRIA J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226031

License Status

NOT RENEWED

Business

First Name

ALEXANDRIA

Middle

Last Name

CLARK

Business Name

ALEXANDRIA J CLARK

Original Issue Date

06/19/2014

Effective Date

02/06/2015

Expiration Date

03/31/2016

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/20/2016