ALEXIS OLIVE MAE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250693

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

OLIVE MAE

Last Name

CLARK

Business Name

ALEXIS OLIVE MAE CLARK

Original Issue Date

05/18/2017

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019