ELIZABETH ANNE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285039

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

CLARK

Business Name

ELIZABETH ANNE CLARK

Original Issue Date

08/24/2021

Effective Date

08/24/2021

Expiration Date

05/31/2022

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

07/27/2022