ERIC R MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157544

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

MARTIN

Business Name

ERIC R MARTIN

Original Issue Date

10/21/2004

Effective Date

01/09/2009

Expiration Date

03/31/2010

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/04/2010