GLORIA LUCIEL CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204958

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

LUCIEL

Last Name

CLARK

Business Name

GLORIA LUCIEL CLARK

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

03/31/2012

City

ROLLA

State

Zip

65401

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/07/2012