ANTHONY J MATLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106872

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

MATLOCK

Business Name

ANTHONY J MATLOCK

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005