AMY R MATHENY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107736

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

MATHENY

Business Name

AMY R MATHENY

Original Issue Date

08/05/1994

Effective Date

08/05/1994

Expiration Date

03/31/2000

City

DUNLAP

State

Zip

61625

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005