KELLY L MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158186

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MARTINEZ

Business Name

KELLY L MARTINEZ

Original Issue Date

12/07/2004

Effective Date

01/21/2009

Expiration Date

03/31/2010

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010