MARJORIE M SCROGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066951

License Status

NOT RENEWED

Business

First Name

MARJORIE M

Last Name

SCROGUM

Business Name

MARJORIE M SCROGUM

Original Issue Date

03/18/1977

Effective Date

03/18/1977

Expiration Date

01/01/1997

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005