MARTIN SIMONSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062054

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

SIMONSEN

Business Name

MARTIN SIMONSEN

Original Issue Date

08/09/1974

Effective Date

08/09/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005