DEBORAH L MATTINGLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113384

License Status

NOT RENEWED

Business

First Name

DEBORAH L

Last Name

MATTINGLY

Business Name

DEBORAH L MATTINGLY

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

03/31/2001

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005