DEBORAH SUSANNE MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147272

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

SUSANNE

Last Name

MARTINEZ

Business Name

DEBORAH SUSANNE MARTINEZ

Original Issue Date

03/05/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007