JACK D MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116825

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

MARTIN

Business Name

JACK D MARTIN

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/31/1999

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005