MICHAEL DOUGLAS MARTZ - Pharmacist License in Illinois | # 049064013

MICHAEL DOUGLAS MARTZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064013

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005