CASEY J MATLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141422

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

MATLOCK

Business Name

CASEY J MATLOCK

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

03/31/2003

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005