SUMMER ASHLEY CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269994

License Status

NOT RENEWED

Business

First Name

SUMMER

Middle

ASHLEY

Last Name

CLARK

Business Name

SUMMER ASHLEY CLARK

Original Issue Date

12/23/2019

Effective Date

12/23/2019

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/08/2021