DINA J MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151792

License Status

NOT RENEWED

Business

First Name

DINA

Middle

Last Name

MARTIN

Business Name

DINA J MARTIN

Original Issue Date

10/21/2003

Effective Date

03/15/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019