IDA LOUISE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049039678

License Status

NOT RENEWED

Business

First Name

IDA LOUISE

Last Name

MARTIN

Business Name

IDA LOUISE MARTIN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005