COLLEEN R MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085196

License Status

NOT RENEWED

Business

First Name

COLLEEN R

Last Name

MARTIN

Business Name

COLLEEN R MARTIN

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

03/31/1989

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005