LAZONDRA S MARTIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051285937

License Status

INACTIVE

Business

First Name

LAZONDRA

Middle

Last Name

MARTIN

Business Name

LAZONDRA S MARTIN

Original Issue Date

04/09/1997

Effective Date

03/27/2008

Expiration Date

03/31/2010

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/05/2010