KENNETH DAVID MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067395

License Status

NOT RENEWED

Business

First Name

KENNETH DAVID

Last Name

MARTIN

Business Name

KENNETH DAVID MARTIN

Original Issue Date

05/27/1977

Effective Date

05/27/1977

Expiration Date

01/01/1997

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005