BRYAN KALEB MARCUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210367

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

KALEB

Last Name

MARCUM

Business Name

BRYAN KALEB MARCUM

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

03/31/2013

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2013