ADAM THOMAS MARTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139859

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

THOMAS

Last Name

MARTY

Business Name

ADAM THOMAS MARTY

Original Issue Date

01/08/2002

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

CANTRALL

State

Zip

62625

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014