KYLE KENNETH CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301349

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

KENNETH

Last Name

CLARK

Business Name

KYLE KENNETH CLARK

Original Issue Date

04/13/2023

Effective Date

02/07/2024

Expiration Date

03/31/2025

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/08/2025