MARTHA LOU NIEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164945

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

LOU

Last Name

NIEMAN

Business Name

MARTHA LOU NIEMAN

Original Issue Date

11/14/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008