JEFFREY D MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099207

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

MARTIN

Business Name

JEFFREY D MARTIN

Original Issue Date

01/25/1992

Effective Date

01/25/1992

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005