DENINE LESLIE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117761

License Status

NOT RENEWED

Business

First Name

DENINE

Middle

LESLIE

Last Name

MARTIN

Business Name

DENINE LESLIE MARTIN

Original Issue Date

06/03/1997

Effective Date

04/22/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60628

Ever Disciplined

LastModifiedDate

05/06/2014