MARILLYN C FAUSZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122308

License Status

NOT RENEWED

Business

First Name

MARILLYN

Middle

Last Name

FAUSZ

Business Name

MARILLYN C FAUSZ

Original Issue Date

08/05/1998

Effective Date

03/20/2020

Expiration Date

03/31/2021

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/20/2021