SHIRLEY H MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093099

License Status

NOT RENEWED

Business

First Name

SHIRLEY H

Last Name

MARTIN

Business Name

SHIRLEY H MARTIN

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

03/31/1995

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005