License holder summary

MARISSA FORDELISA LIGHTBOURNE is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 07/01/2010 and expired on 06/30/2015.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

MARISSA FORDELISA LIGHTBOURNE
Pharmacy - Cs 1
License number
5315045519
Date granted
07/01/2010
Date expires
06/30/2015
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39155541
LAST UPDATED 2024-03-10 02:44:34 UTC

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