ANTHONY KENT METTILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125312

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

KENT

Last Name

METTILLE

Business Name

ANTHONY KENT METTILLE

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

03/31/2000

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005