JACQUELINE ADA MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068832

License Status

NOT RENEWED

Business

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

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005