JASON S MARCUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156725

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

MARCUM

Business Name

JASON S MARCUM

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

03/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005