JACQUELINE ADA MARTIN - Pharmacist License in Illinois | # 049068832

JACQUELINE ADA MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068832

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE ADA

Last Name

MARTIN

Business Name

JACQUELINE ADA MARTIN

Original Issue Date

02/10/1978

Effective Date

02/10/1978

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005