MARISSA NICOLE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181937

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

NICOLE

Last Name

CLARK

Business Name

MARISSA NICOLE CLARK

Original Issue Date

02/04/2008

Effective Date

02/04/2008

Expiration Date

03/31/2009

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2009