LARRY B MATTESON - Pharmacist License in Illinois | # 049096436

LARRY B MATTESON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096436

License Status

NOT RENEWED

Business

N

First Name

LARRY B

Last Name

MATTESON

Business Name

LARRY B MATTESON

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005