MANUEL MARTINEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034170

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

BURCIAGA

Last Name

MARTINEZ

Business Name

MANUEL MARTINEZ

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005