JUSTIN W MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143034

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

MARTIN

Business Name

JUSTIN W MARTIN

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

03/31/2003

City

MASON CITY

State

Zip

62664

County

MASON

Ever Disciplined

LastModifiedDate

10/20/2005