GAVIN CLARK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049320630

License Status

ACTIVE

Business

First Name

GAVIN

Last Name

CLARK

Business Name

GAVIN CLARK

Original Issue Date

05/29/2025

Effective Date

05/29/2025

Expiration Date

03/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/30/2026