JACOB F MARTENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145205

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

MARTENS

Business Name

JACOB F MARTENS

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2006

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006