TIMOTHY A MATHERLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060307

License Status

NOT RENEWED

Business

First Name

TIMOTHY A

Last Name

MATHERLY

Business Name

TIMOTHY A MATHERLY

Original Issue Date

09/21/1973

Effective Date

09/21/1973

Expiration Date

01/01/1997

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005