KYLE R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231477

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

CLARK

Business Name

KYLE R CLARK

Original Issue Date

03/04/2015

Effective Date

03/04/2015

Expiration Date

03/31/2016

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/20/2016