MIRANDA MAXINE PUSKAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223699

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

MAXINE

Last Name

PUSKAR

Business Name

MIRANDA MAXINE PUSKAR

Original Issue Date

03/04/2014

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015