DUSTIN L MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091058

License Status

NOT RENEWED

Business

First Name

DUSTIN L

Last Name

MARTIN

Business Name

DUSTIN L MARTIN

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

03/31/1991

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005