LISA J MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156194

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MARTIN

Business Name

LISA J MARTIN

Original Issue Date

07/26/2004

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

05/04/2010