CAROL M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096265

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

CLARK

Business Name

CAROL M CLARK

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

03/31/1995

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005