MARTHA TENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202011

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

TENA

Prefix

Business Name

MARTHA TENA

Original Issue Date

12/17/2010

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012