CANDACE L CCLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229347

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

Last Name

CCLARK

Prefix

Business Name

CANDACE L CCLARK

Original Issue Date

11/18/2014

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016