MARISSA SUE LOUSIE MATHENY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293819

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

SUE LOUSIE

Last Name

MATHENY

Business Name

MARISSA SUE LOUSIE MATHENY

Original Issue Date

07/02/2022

Effective Date

07/02/2022

Expiration Date

03/31/2023

City

ABINGDON

State

Zip

61410

County

KNOX

Ever Disciplined

LastModifiedDate

09/07/2023