JASMINE BREANNA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276067

License Status

NOT RENEWED

Business

First Name

JASMINE

Middle

BREANNA

Last Name

CLARK

Business Name

JASMINE BREANNA CLARK

Original Issue Date

09/23/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022