FONDA MARLLENE GRISWOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286435

License Status

NOT RENEWED

Business

First Name

FONDA

Middle

MARLLENE

Last Name

GRISWOLD

Business Name

FONDA MARLLENE GRISWOLD

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

05/31/2022

City

VILLA GROVE

State

Zip

61956

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022