MARTHA V GEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097691

License Status

NOT RENEWED

Business

First Name

MARTHA V

Last Name

GEISEN

Business Name

MARTHA V GEISEN

Original Issue Date

08/29/1991

Effective Date

04/28/2015

Expiration Date

03/31/2016

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016