MATTHEW DAVID CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302140

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DAVID

Last Name

CLARK

Business Name

MATTHEW DAVID CLARK

Original Issue Date

06/27/2019

Effective Date

02/05/2020

Expiration Date

07/31/2022

City

MCALESTER

State

Zip

74501

Ever Disciplined

LastModifiedDate

10/14/2022