KATIE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208214

License Status

NOT RENEWED

Business

First Name

KATIE

Last Name

MARTIN

Prefix

Business Name

KATIE MARTIN

Original Issue Date

12/11/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013