MARTIN A WHITWORTH JR Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064996

License Status

CANCELLED

Business

First Name

MARTIN

Middle

Last Name

WHITWORTH

Suffix

Business Name

MARTIN A WHITWORTH JR

Original Issue Date

03/05/1976

Effective Date

03/05/1976

Expiration Date

01/01/1997

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/12/2007