DAVID MATTINGLY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067324

License Status

CANCELLED

Business

First Name

DAVID

Last Name

MATTINGLY

Business Name

DAVID MATTINGLY

Original Issue Date

05/20/1977

Effective Date

05/20/1977

Expiration Date

01/01/1997

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005