FREDERICK MARTELL LYONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158610

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

MARTELL

Last Name

LYONS

Business Name

FREDERICK MARTELL LYONS

Original Issue Date

12/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008