TIANNA CLARK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049319250

License Status

ACTIVE

Business

First Name

TIANNA

Last Name

CLARK

Business Name

TIANNA CLARK

Original Issue Date

03/26/2025

Effective Date

03/26/2025

Expiration Date

03/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2026