License holder summary

Derek Allen Clark is a Pharmacy - Pharmacist Intern licensed to practice in Colorado. The address on file for Derek Allen Clark is 2321 W Bent Tree Dr, Phoenix, AZ, 85085-4731. This licensed professional license is not current. The license was granted 11/02/2012 and expired on 10/31/2013.

Colorado

Division of Professions and Occupations

Derek Allen Clark
Pharmacy - Pharmacist Intern
License number
2005624
Date granted
11/02/2012
Date expires
10/31/2013
Class
Pharmacy - Pharmacist Intern
Status
Expired
Address
2321 W Bent Tree Dr, Phoenix, AZ, 85085-4731
coloradolicensing.org
ID 28199708
LAST UPDATED 2024-03-25 22:13:53 UTC

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