MARILYN MARLENE MAPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116093

License Status

NOT RENEWED

Business

First Name

MARILYN MARLENE

Last Name

MAPLE

Business Name

MARILYN MARLENE MAPLE

Original Issue Date

11/28/1996

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

05/12/2011