LISA A MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079963

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

MARTIN

Business Name

LISA A MARTIN

Original Issue Date

07/05/1984

Effective Date

07/05/1984

Expiration Date

03/31/1989

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005