OCTAVIA MERRILL MARSHALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258929

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Middle

MERRILL

Last Name

MARSHALL

Business Name

OCTAVIA MERRILL MARSHALL

Original Issue Date

08/02/2018

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/08/2021