JACLYN RENEE MARTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119983

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

RENEE

Last Name

MARTIS

Business Name

JACLYN RENEE MARTIS

Original Issue Date

02/03/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007