SAMUEL EUGENE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184139

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

EUGENE

Last Name

MARTIN

Business Name

SAMUEL EUGENE MARTIN

Original Issue Date

05/07/2008

Effective Date

03/06/2009

Expiration Date

03/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010