LISA MARIE MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155384

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

MARTINEZ

Business Name

LISA MARIE MARTINEZ

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005