HEATHER NICOLE MATTOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142951

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

NICOLE

Last Name

MATTOX

Business Name

HEATHER NICOLE MATTOX

Original Issue Date

06/04/2002

Effective Date

06/04/2002

Expiration Date

03/31/2003

City

STEGER

State

Zip

60475

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005