LORI A MARTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085046

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

MARTZ

Business Name

LORI A MARTZ

Original Issue Date

08/15/1987

Effective Date

08/15/1987

Expiration Date

03/31/2005

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/20/2005