ANGELA NICOLE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235808

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

NICOLE

Last Name

MARTIN

Business Name

ANGELA NICOLE MARTIN

Original Issue Date

08/26/2015

Effective Date

03/22/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018