VIVIAN MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141788

License Status

NOT RENEWED

Business

First Name

VIVIAN

Last Name

MARTINEZ

Business Name

VIVIAN MARTINEZ

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005