CHANTELL L MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146280

License Status

NOT RENEWED

Business

First Name

CHANTELL

Middle

Last Name

MARTIN

Business Name

CHANTELL L MARTIN

Original Issue Date

12/09/2002

Effective Date

12/09/2002

Expiration Date

03/31/2006

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006