DEAN C MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060257

License Status

NOT RENEWED

Business

First Name

DEAN C

Last Name

MARTIN

Business Name

DEAN C MARTIN

Original Issue Date

09/14/1973

Effective Date

09/14/1973

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005