LAURA E MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155921

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

MARTIN

Business Name

LAURA E MARTIN

Original Issue Date

07/02/2004

Effective Date

04/01/2011

Expiration Date

03/31/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012