GERALD S MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101171

License Status

NOT RENEWED

Business

First Name

GERALD S

Last Name

MARTIN

Business Name

GERALD S MARTIN

Original Issue Date

09/03/1992

Effective Date

09/03/1992

Expiration Date

03/31/1998

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005