TOM W MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113809

License Status

NOT RENEWED

Business

First Name

TOM W

Last Name

MARTIN

Business Name

TOM W MARTIN

Original Issue Date

03/25/1996

Effective Date

03/25/1996

Expiration Date

03/31/1997

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005