MONICA D CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041011

License Status

INACTIVE

Business

First Name

MONICA D

Last Name

CLARK

Business Name

MONICA D CLARK

Original Issue Date

08/21/1996

Effective Date

08/21/1996

Expiration Date

03/31/2000

City

GRAY

State

Zip

37615

County

TENNESSEE

Ever Disciplined

LastModifiedDate

12/06/2005