BETTY JEAN MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128900

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

JEAN

Last Name

MATHIS

Business Name

BETTY JEAN MATHIS

Original Issue Date

01/10/2000

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/12/2011