MASON CHARLES CLARKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257984

License Status

NOT RENEWED

Business

First Name

MASON

Middle

CHARLES

Last Name

CLARKE

Business Name

MASON CHARLES CLARKE

Original Issue Date

05/17/2018

Effective Date

05/17/2018

Expiration Date

03/31/2019

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019