MARISSA LYNNE AUSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210401

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

LYNNE

Last Name

AUSMAN

Business Name

MARISSA LYNNE AUSMAN

Original Issue Date

04/17/2012

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

PORTLAND

State

Zip

97239

Ever Disciplined

LastModifiedDate

05/20/2016