RACQUEL ALLYSE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199083

License Status

NOT RENEWED

Business

First Name

RACQUEL

Middle

ALLYSE

Last Name

MARTIN

Business Name

RACQUEL ALLYSE MARTIN

Original Issue Date

06/23/2010

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012