NATHAN LAWRENCE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258291

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

LAWRENCE

Last Name

CLARK

Business Name

NATHAN LAWRENCE CLARK

Original Issue Date

06/01/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/20/2021