LISA E MARTIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100677

License Status

INACTIVE

Business

First Name

LISA E

Last Name

MARTIN

Business Name

LISA E MARTIN

Original Issue Date

07/09/1992

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/06/2009