MARIANNE THERESE MODRZYNSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082665

License Status

NOT RENEWED

Business

First Name

MARIANNE THERESE

Last Name

MODRZYNSKI

Business Name

MARIANNE THERESE MODRZYNSKI

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

03/31/1987

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/17/2005