TAMIKA M MARTELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146460

License Status

NOT RENEWED

Business

First Name

TAMIKA

Middle

Last Name

MARTELL

Business Name

TAMIKA M MARTELL

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005