MALCOLM EMRU CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228390

License Status

NOT RENEWED

Business

First Name

MALCOLM

Middle

EMRU

Last Name

CLARK

Business Name

MALCOLM EMRU CLARK

Original Issue Date

10/08/2014

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017