MARTIN D MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139879

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

MASON

Business Name

MARTIN D MASON

Original Issue Date

01/09/2002

Effective Date

01/09/2002

Expiration Date

03/31/2003

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005