PENNY SUE MASSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100304

License Status

NOT RENEWED

Business

First Name

PENNY SUE

Last Name

MASSO

Business Name

PENNY SUE MASSO

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

03/31/2006

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006