ZACHARY D MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207290

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

Last Name

MARTIN

Business Name

ZACHARY D MARTIN

Original Issue Date

10/14/2011

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

06/19/2018