TINA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302862

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

CLARK

Business Name

TINA M CLARK

Original Issue Date

06/02/2023

Effective Date

06/02/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025