TRAVIS A MATTINGLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125041

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

MATTINGLY

Business Name

TRAVIS A MATTINGLY

Original Issue Date

03/18/1999

Effective Date

03/18/1999

Expiration Date

03/31/2000

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

10/21/2005