LILLIE R MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079124

License Status

NOT RENEWED

Business

First Name

LILLIE R

Last Name

MARTIN

Business Name

LILLIE R MARTIN

Original Issue Date

10/28/1983

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

05/06/2014