MARLEEN LILLIAN ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033341

License Status

NOT RENEWED

Business

First Name

MARLEEN LILLIAN

Last Name

ANDERSEN

Business Name

MARLEEN LILLIAN ANDERSEN

Original Issue Date

08/05/1980

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

01/14/2021