DONNA L MATTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061618

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

MATTAN

Business Name

DONNA L MATTAN

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/17/2005