MARISSA ALICE SHORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295376

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

ALICE

Last Name

SHORTER

Business Name

MARISSA ALICE SHORTER

Original Issue Date

08/29/2022

Effective Date

08/29/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023