JEAN M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155055

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

MARTIN

Business Name

JEAN M MARTIN

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2006

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006