ALYSSEN LEE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242407

License Status

NOT RENEWED

Business

First Name

ALYSSEN

Middle

LEE

Last Name

CLARK

Business Name

ALYSSEN LEE CLARK

Original Issue Date

06/13/2016

Effective Date

03/22/2019

Expiration Date

09/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021