MARLA M MUSSO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295295

License Status

INACTIVE

Business

First Name

MARLA

Middle

Last Name

MUSSO

Business Name

MARLA M MUSSO

Original Issue Date

08/23/2011

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/09/2014