JACKIE JILL MARTIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116600

License Status

INACTIVE

Business

First Name

JACKIE

Middle

JILL

Last Name

MARTIN

Business Name

JACKIE JILL MARTIN

Original Issue Date

02/28/1997

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

01/09/2014