MICHAIAH CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292493

License Status

NOT RENEWED

Business

First Name

MICHAIAH

Last Name

CLARK

Business Name

MICHAIAH CLARK

Original Issue Date

05/11/2022

Effective Date

05/11/2022

Expiration Date

03/31/2023

City

KANKAKEE

State

Zip

60901

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023