LEE A MATTINGLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088649

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

MATTINGLY

Business Name

LEE A MATTINGLY

Original Issue Date

01/05/1989

Effective Date

01/05/1989

Expiration Date

03/31/1993

City

RIDGE FARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005