KERRY L MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092709

License Status

NOT RENEWED

Business

First Name

KERRY L

Last Name

MATHIS

Business Name

KERRY L MATHIS

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

03/31/1991

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005