CARISSA MARION SEVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138003

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

MARION

Last Name

SEVERSON

Business Name

CARISSA MARION SEVERSON

Original Issue Date

09/10/2001

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016