TERRANCE D MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120551

License Status

NOT RENEWED

Business

First Name

TERRANCE

Middle

Last Name

MARTIN

Business Name

TERRANCE D MARTIN

Original Issue Date

04/09/1998

Effective Date

04/09/1998

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005