TRAVIS H MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193371

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

MARTIN

Prefix

Business Name

TRAVIS H MARTIN

Original Issue Date

08/03/2009

Effective Date

08/03/2009

Expiration Date

03/31/2010

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010