MARTHA AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254566

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

AYALA

Business Name

MARTHA AYALA

Original Issue Date

11/30/2017

Effective Date

02/26/2018

Expiration Date

03/31/2019

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019