JOLENE CARTER MATTOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128824

License Status

NOT RENEWED

Business

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

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

10/20/2005