MEGAN REBECCA MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132403

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

REBECCA

Last Name

MARTIN

Business Name

MEGAN REBECCA MARTIN

Original Issue Date

08/29/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008