MARTHA SEVERANCE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034164

License Status

INACTIVE

Business

First Name

MARTHA

Last Name

SEVERANCE

Business Name

MARTHA SEVERANCE

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/31/1986

City

GRUNDY CENTER

State

Zip

50638

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005