MARIELLEN JAGOSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070274

License Status

NOT RENEWED

Business

First Name

MARIELLEN

Last Name

JAGOSH

Business Name

MARIELLEN JAGOSH

Original Issue Date

10/27/1978

Effective Date

10/27/1978

Expiration Date

01/01/1997

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005