DENISE A MATTOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067093

License Status

NOT RENEWED

Business

First Name

DENISE A

Last Name

MATTOX

Business Name

DENISE A MATTOX

Original Issue Date

04/15/1977

Effective Date

04/15/1977

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005