STACIA SUE MARTIN - Pharmacist License in Illinois | # 049156821

STACIA SUE MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156821

License Status

NOT RENEWED

Business

N

First Name

STACIA

Middle

SUE

Last Name

MARTIN

Business Name

STACIA SUE MARTIN

Original Issue Date

08/23/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

Y

LastModifiedDate

01/14/2009

Case Number

2007003568

Action

Revocation

Discipline Start Date

01/14/2009

Discipline Reason

pharmacy technician license revoked for knowingly diverted and possessed controlled substances without authorization.