KELLY L MARTINEZ - Pharmacist License in Illinois | # 049158186

KELLY L MARTINEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158186

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

L

Last Name

MARTINEZ

Business Name

KELLY L MARTINEZ

Original Issue Date

12/07/2004

Effective Date

01/21/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010