TERRY GENE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024512

License Status

NOT RENEWED

Business

First Name

TERRY GENE

Last Name

CLARK

Business Name

TERRY GENE CLARK

Original Issue Date

02/13/1959

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

INDIANAPOLIS

State

Zip

46239

County

MARION

Ever Disciplined

LastModifiedDate

06/19/2018