PENNY J MUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168188

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

Last Name

MUSSO

Business Name

PENNY J MUSSO

Original Issue Date

04/26/2006

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017