RAFAEL L MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166684

License Status

NOT RENEWED

Business

First Name

RAFAEL

Middle

Last Name

MARTINEZ

Business Name

RAFAEL L MARTINEZ

Original Issue Date

03/08/2006

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011