EDNA MARLENE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064188

License Status

NOT RENEWED

Business

First Name

EDNA MARLENE

Last Name

MARTIN

Business Name

EDNA MARLENE MARTIN

Original Issue Date

09/12/1975

Effective Date

09/12/1975

Expiration Date

03/31/1994

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005