KIRSTI SUSAN MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124268

License Status

NOT RENEWED

Business

First Name

KIRSTI

Middle

SUSAN

Last Name

MARTINEZ

Business Name

KIRSTI SUSAN MARTINEZ

Original Issue Date

12/23/1998

Effective Date

12/23/1998

Expiration Date

03/31/2000

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005