REGINA DENISE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114772

License Status

NOT RENEWED

Business

First Name

REGINA DENISE

Last Name

MARTIN

Business Name

REGINA DENISE MARTIN

Original Issue Date

08/09/1996

Effective Date

08/09/1996

Expiration Date

03/31/2001

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005