SIERRA NICOLE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270598

License Status

NOT RENEWED

Business

First Name

SIERRA

Middle

NICOLE

Last Name

CLARK

Business Name

SIERRA NICOLE CLARK

Original Issue Date

01/27/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/27/2022