KEVIN DALE MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137892

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

DALE

Last Name

MATHIS

Business Name

KEVIN DALE MATHIS

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

03/31/2005

City

HARPERS FERRY

State

Zip

52146

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005