KENT D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284578

License Status

NOT RENEWED

Business

First Name

KENT

Middle

Last Name

CLARK

Business Name

KENT D CLARK

Original Issue Date

08/10/2021

Effective Date

03/25/2024

Expiration Date

03/31/2025

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025