DAVID ALLEN MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147665

License Status

NOT RENEWED

Business

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

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005