GWENDOLYN PENELOPE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268071

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

PENELOPE

Last Name

MARTIN

Business Name

GWENDOLYN PENELOPE MARTIN

Original Issue Date

09/25/2019

Effective Date

09/25/2019

Expiration Date

09/30/2020

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021