DENNIS C MARTHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057283

License Status

NOT RENEWED

Business

First Name

DENNIS C

Last Name

MARTHA

Business Name

DENNIS C MARTHA

Original Issue Date

01/17/1972

Effective Date

01/17/1972

Expiration Date

03/31/2002

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

12/06/2005