LATISHA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162257

License Status

NOT RENEWED

Business

First Name

LATISHA

Middle

Last Name

CLARK

Business Name

LATISHA M CLARK

Original Issue Date

07/15/2005

Effective Date

07/28/2009

Expiration Date

03/31/2010

City

THE WOODLANDS

State

Zip

77384

Ever Disciplined

LastModifiedDate

05/04/2010