WYATT JAMES CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277445

License Status

NOT RENEWED

Business

First Name

WYATT

Middle

JAMES

Last Name

CLARK

Business Name

WYATT JAMES CLARK

Original Issue Date

11/18/2020

Effective Date

11/18/2020

Expiration Date

03/31/2021

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021