SELENA P MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141515

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

Last Name

MARTINEZ

Business Name

SELENA P MARTINEZ

Original Issue Date

03/25/2002

Effective Date

03/25/2002

Expiration Date

03/31/2003

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005