IVA W MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085743

License Status

NOT RENEWED

Business

First Name

IVA W

Last Name

MARTIN

Business Name

IVA W MARTIN

Original Issue Date

12/09/1987

Effective Date

12/09/1987

Expiration Date

03/31/1993

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005