CYNTHIA MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062642

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Last Name

MARTIN

Business Name

CYNTHIA MARTIN

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

01/01/1997

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005