MAUDIE GAYLE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157004

License Status

NOT RENEWED

Business

First Name

MAUDIE

Middle

GAYLE

Last Name

CLARK

Business Name

MAUDIE GAYLE CLARK

Original Issue Date

08/31/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

UPPER MARLBORO

State

Zip

20772

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/02/2008