MARIAH SOUTHERLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049304886

License Status

NOT RENEWED

Business

First Name

MARIAH

Last Name

SOUTHERLAND

Business Name

MARIAH SOUTHERLAND

Original Issue Date

08/12/2023

Effective Date

08/12/2023

Expiration Date

03/31/2024

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/03/2025