THOMAS JEFFERSON MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264541

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JEFFERSON

Last Name

MARTIN

Business Name

THOMAS JEFFERSON MARTIN

Original Issue Date

04/13/2019

Effective Date

04/13/2019

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53225

Ever Disciplined

LastModifiedDate

01/08/2021