SARAH ANN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158407

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ANN

Last Name

CLARK

Business Name

SARAH ANN CLARK

Original Issue Date

12/16/2004

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011