PHYLLIS JEAN MARTENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028816

License Status

NOT RENEWED

Business

First Name

PHYLLIS JEAN

Last Name

MARTENS

Business Name

PHYLLIS JEAN MARTENS

Original Issue Date

01/01/1997

Effective Date

03/28/2016

Expiration Date

03/31/2018

City

ANDALUSIA

State

Zip

61232

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/19/2018