JENIFER A MARTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156740

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

Last Name

MARTEN

Business Name

JENIFER A MARTEN

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2007