GRACIE NICOLE CLARK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303367

License Status

ACTIVE

Business

First Name

GRACIE

Middle

NICOLE

Last Name

CLARK

Prefix

Business Name

GRACIE NICOLE CLARK

Original Issue Date

08/28/2020

Effective Date

03/07/2026

Expiration Date

03/31/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/07/2026