MARTHA A LEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120337

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

LEE

Business Name

MARTHA A LEE

Original Issue Date

03/24/1998

Effective Date

03/24/1998

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005