TRAVIS A MATTINGLY - Pharmacist License in Illinois | # 049125041

TRAVIS A MATTINGLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125041

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

A

Last Name

MATTINGLY

Business Name

TRAVIS A MATTINGLY

Original Issue Date

03/18/1999

Effective Date

03/18/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005