GARY F MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157275

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

MARTIN

Business Name

GARY F MARTIN

Original Issue Date

10/01/2004

Effective Date

01/13/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011