MARISSA LORAINE SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303560

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

LORAINE

Last Name

SHEPARD

Business Name

MARISSA LORAINE SHEPARD

Original Issue Date

06/28/2023

Effective Date

03/28/2024

Expiration Date

03/31/2025

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025