CHARLOS TRAVIS MATTHEWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143035

License Status

NOT RENEWED

Business

First Name

CHARLOS

Middle

TRAVIS

Last Name

MATTHEWS

Business Name

CHARLOS TRAVIS MATTHEWS

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

03/31/2003

City

WAGGONER

State

Zip

62572

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/20/2005