THERESA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082996

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

CLARK

Business Name

THERESA CLARK

Original Issue Date

07/14/1986

Effective Date

07/14/1986

Expiration Date

03/31/1994

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005