ZACHARY WILLIAM CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268935

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

WILLIAM

Last Name

CLARK

Business Name

ZACHARY WILLIAM CLARK

Original Issue Date

11/04/2019

Effective Date

03/03/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021