AMANDA L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267695

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

CLARK

Business Name

AMANDA L CLARK

Original Issue Date

09/04/2019

Effective Date

03/03/2021

Expiration Date

05/31/2022

City

FORREST

State

Zip

61741

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/27/2022