STEPHANIE ELAINE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232120

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ELAINE

Last Name

MARTIN

Business Name

STEPHANIE ELAINE MARTIN

Original Issue Date

04/02/2015

Effective Date

04/02/2015

Expiration Date

03/31/2016

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/20/2016