ANDREA DENISE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126426

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

DENISE

Last Name

MARTIN

Business Name

ANDREA DENISE MARTIN

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

03/31/2001

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005