MICHAEL M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170754

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MARTIN

Business Name

MICHAEL M MARTIN

Original Issue Date

08/22/2006

Effective Date

08/22/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007