NATHAN JOEL CLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267918

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

JOEL

Last Name

CLACK

Business Name

NATHAN JOEL CLACK

Original Issue Date

09/18/2019

Effective Date

05/20/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023