FONDA MARLLENE GRISWOLD - Pharmacist License in Illinois | # 049286435

FONDA MARLLENE GRISWOLD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286435

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022