MARISHA ANN STAUB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196752

License Status

NOT RENEWED

Business

First Name

MARISHA

Middle

ANN

Last Name

STAUB

Business Name

MARISHA ANN STAUB

Original Issue Date

02/10/2010

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012