MARTHA L CROUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137528

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

CROUCH

Business Name

MARTHA L CROUCH

Original Issue Date

08/07/2001

Effective Date

08/07/2001

Expiration Date

03/31/2006

City

OCONEE

State

Zip

62553

County

SHELBY

Ever Disciplined

LastModifiedDate

05/11/2006