MEGAN REBECCA MARTIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292174

License Status

INACTIVE

Business

First Name

MEGAN

Middle

REBECCA

Last Name

MARTIN

Business Name

MEGAN REBECCA MARTIN

Original Issue Date

09/27/2007

Effective Date

01/22/2018

Expiration Date

09/30/2020

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2020