SHANE MICHAEL MARTIN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291868

License Status

ACTIVE

Business

First Name

SHANE

Middle

MICHAEL

Last Name

MARTIN

Business Name

SHANE MICHAEL MARTIN

Original Issue Date

07/11/2007

Effective Date

01/30/2026

Expiration Date

03/31/2028

City

SURPRISE

State

Zip

85388

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/30/2026