AMY L MARTENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121184

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

MARTENSEN

Business Name

AMY L MARTENSEN

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005