GERALD W MATTINGLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094347

License Status

NOT RENEWED

Business

First Name

GERALD W

Last Name

MATTINGLY

Business Name

GERALD W MATTINGLY

Original Issue Date

09/05/1990

Effective Date

09/05/1990

Expiration Date

03/31/1993

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005