CLARK E PALMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031898

License Status

NOT RENEWED

Business

First Name

CLARK E

Last Name

PALMER

Business Name

CLARK E PALMER

Original Issue Date

11/10/1977

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

NEILLSVILLE

State

Zip

54456

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2006