LORI A MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120046

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

MARTIN

Business Name

LORI A MARTIN

Original Issue Date

02/11/1998

Effective Date

02/11/1998

Expiration Date

03/31/1999

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005