MARTHA A GIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219635

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

GIVENS

Prefix

Business Name

MARTHA A GIVENS

Original Issue Date

07/29/2013

Effective Date

07/29/2013

Expiration Date

03/31/2014

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/06/2014