TIMOTHY OLAF MARSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152053

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

OLAF

Last Name

MARSH

Business Name

TIMOTHY OLAF MARSH

Original Issue Date

11/04/2003

Effective Date

11/04/2003

Expiration Date

03/31/2005

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005