REGINA R MATHERLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072407

License Status

NOT RENEWED

Business

First Name

REGINA R

Last Name

MATHERLY

Business Name

REGINA R MATHERLY

Original Issue Date

01/14/1980

Effective Date

01/14/1980

Expiration Date

03/31/1984

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005