JOHN DUANE CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051285951

License Status

INACTIVE

Business

First Name

JOHN

Middle

DUANE

Last Name

CLARK

Business Name

JOHN DUANE CLARK

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

03/31/2004

City

LOUISVILLE

State

Zip

40245

County

KENTUCKY

Ever Disciplined

LastModifiedDate

12/06/2005