MARISSA P MAHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221226

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

Last Name

MAHAN

Prefix

Business Name

MARISSA P MAHAN

Original Issue Date

10/02/2013

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015