DAN-A JEAN MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181537

License Status

NOT RENEWED

Business

First Name

DAN-A

Middle

JEAN

Last Name

MARTIN

Business Name

DAN-A JEAN MARTIN

Original Issue Date

01/14/2008

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

BRILLION

State

Zip

54110

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011