CLARENCE EVANS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022004

License Status

INACTIVE

Business

First Name

CLARENCE

Last Name

EVANS

Business Name

CLARENCE EVANS

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

EAST ST. LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/06/2005