MARIANNE AUSMUS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029939

License Status

INACTIVE

Business

First Name

MARIANNE

Last Name

AUSMUS

Business Name

MARIANNE AUSMUS

Original Issue Date

08/02/1974

Effective Date

04/01/2014

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/28/2016