JONATHAN K MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175340

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

MARTIN

Business Name

JONATHAN K MARTIN

Original Issue Date

04/04/2007

Effective Date

03/11/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011