TIMOTHY PATRICK CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278047

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

CLARK

Business Name

TIMOTHY PATRICK CLARK

Original Issue Date

12/15/2020

Effective Date

12/15/2020

Expiration Date

03/31/2021

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021