LISA MARIE MARTINEZ - Pharmacist License in Illinois | # 049155384

LISA MARIE MARTINEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155384

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005