SANDRA L MATTINGLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106347

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

MATTINGLY

Business Name

SANDRA L MATTINGLY

Original Issue Date

03/23/1994

Effective Date

03/23/1994

Expiration Date

03/31/1995

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005