MARISSA JANICE GILLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049304314

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

JANICE

Last Name

GILLUM

Business Name

MARISSA JANICE GILLUM

Original Issue Date

07/25/2023

Effective Date

07/25/2023

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025