MICAELA LUISA MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182318

License Status

NOT RENEWED

Business

First Name

MICAELA

Middle

LUISA

Last Name

MARTINEZ

Business Name

MICAELA LUISA MARTINEZ

Original Issue Date

02/22/2008

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010