JEREMY L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106627

License Status

NOT RENEWED

Business

First Name

JEREMY L

Last Name

CLARK

Business Name

JEREMY L CLARK

Original Issue Date

04/18/1994

Effective Date

04/18/1994

Expiration Date

03/31/2002

City

LOUISVILLE

State

Zip

40218

County

KENTUCKY

Ever Disciplined

LastModifiedDate

12/06/2005