MARCUS A MUSSATTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193247

License Status

NOT RENEWED

Business

First Name

MARCUS

Middle

Last Name

MUSSATTO

Business Name

MARCUS A MUSSATTO

Original Issue Date

07/28/2009

Effective Date

01/25/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014