COLLEEN ELIZABETH MATTESON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132175

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

ELIZABETH

Last Name

MATTESON

Business Name

COLLEEN ELIZABETH MATTESON

Original Issue Date

08/15/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

05/06/2009