MICHAEL DOUGLAS MARTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064013

License Status

NOT RENEWED

Business

First Name

MICHAEL DOUGLAS

Last Name

MARTZ

Business Name

MICHAEL DOUGLAS MARTZ

Original Issue Date

08/08/1975

Effective Date

08/08/1975

Expiration Date

01/01/1997

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005