MARYLYNNE CHAMBLISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140259

License Status

NOT RENEWED

Business

First Name

MARYLYNNE

Last Name

CHAMBLISS

Business Name

MARYLYNNE CHAMBLISS

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005