DAVID ALLEN MATHIS - Pharmacist License in Illinois | # 049147665

DAVID ALLEN MATHIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147665

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

ALLEN

Last Name

MATHIS

Business Name

DAVID ALLEN MATHIS

Original Issue Date

03/28/2003

Effective Date

03/28/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005