DEBRA LYNN MATHENIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069959

License Status

NOT RENEWED

Business

First Name

DEBRA LYNN

Last Name

MATHENIA

Business Name

DEBRA LYNN MATHENIA

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

03/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005