MARTHA L TERVEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108749

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

TERVEEN

Business Name

MARTHA L TERVEEN

Original Issue Date

11/05/1994

Effective Date

11/05/1994

Expiration Date

03/31/2000

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005