GENE H MATTSFIELD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072169

License Status

CANCELLED

Business

First Name

GENE H

Last Name

MATTSFIELD

Business Name

GENE H MATTSFIELD

Original Issue Date

11/21/1979

Effective Date

11/21/1979

Expiration Date

01/01/1997

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005