MARILYN R NOVAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025372

License Status

INACTIVE

Business

First Name

MARILYN R

Last Name

NOVAK

Business Name

MARILYN R NOVAK

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ALBUQUERQUE

State

Zip

87112

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

01/10/2008