MARTHA L LILJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171863

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

LILJA

Business Name

MARTHA L LILJA

Original Issue Date

10/11/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008