MARILYN S GRISHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095105

License Status

NOT RENEWED

Business

First Name

MARILYN S

Last Name

GRISHAM

Business Name

MARILYN S GRISHAM

Original Issue Date

11/16/1990

Effective Date

11/16/1990

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005