JACK D MARTIN - Pharmacist License in Illinois | # 049116825

JACK D MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116825

License Status

NOT RENEWED

Business

N

First Name

JACK

Middle

D

Last Name

MARTIN

Business Name

JACK D MARTIN

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005