MARLA M MUSSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177256

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

Last Name

MUSSO

Business Name

MARLA M MUSSO

Original Issue Date

06/21/2007

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012