DONALD L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025195

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

CLARK

Business Name

DONALD L CLARK

Original Issue Date

01/01/1997

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2012