JOLENE CARTER MATTOX - Pharmacist License in Illinois | # 049128824

JOLENE CARTER MATTOX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128824

License Status

NOT RENEWED

Business

N

First Name

JOLENE

Middle

CARTER

Last Name

MATTOX

Business Name

JOLENE CARTER MATTOX

Original Issue Date

12/30/1999

Effective Date

12/30/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005