CASEY J MATLOCK - Pharmacist License in Illinois | # 049141422

CASEY J MATLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141422

License Status

NOT RENEWED

Business

N

First Name

CASEY

Middle

J

Last Name

MATLOCK

Business Name

CASEY J MATLOCK

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005