MADONNA LEE MARRIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118269

License Status

NOT RENEWED

Business

First Name

MADONNA

Middle

LEE

Last Name

MARRIN

Business Name

MADONNA LEE MARRIN

Original Issue Date

07/28/1997

Effective Date

07/28/1997

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005