MARTIE A STACHOWIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112533

License Status

NOT RENEWED

Business

First Name

MARTIE A

Last Name

STACHOWIAK

Business Name

MARTIE A STACHOWIAK

Original Issue Date

11/18/1995

Effective Date

11/18/1995

Expiration Date

03/31/1996

City

LASALLE

State

Zip

61301

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005