KELLY D CLARK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039009

License Status

ACTIVE

Business

First Name

KELLY D

Last Name

CLARK

Business Name

KELLY D CLARK

Original Issue Date

08/17/1992

Effective Date

02/01/2026

Expiration Date

03/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/01/2026