RICHARD M MATTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096445

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

MATTIS

Business Name

RICHARD M MATTIS

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1992

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005