MADELEINE LORRAINE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113638

License Status

NOT RENEWED

Business

First Name

MADELEINE

Middle

LORRAINE

Last Name

MARTIN

Business Name

MADELEINE LORRAINE MARTIN

Original Issue Date

03/12/1996

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017