MADELINE CAROL MARTINIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058533

License Status

NOT RENEWED

Business

First Name

MADELINE CAROL

Last Name

MARTINIE

Business Name

MADELINE CAROL MARTINIE

Original Issue Date

10/14/1972

Effective Date

10/14/1972

Expiration Date

01/01/1997

City

BEASON

State

Zip

62512

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005