ROBERTA JO MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153852

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

MARTIN

Business Name

ROBERTA JO MARTIN

Original Issue Date

03/23/2004

Effective Date

06/30/2016

Expiration Date

03/31/2017

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/10/2017