JENNIFER LYNN MATTMILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150971

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

MATTMILLER

Business Name

JENNIFER LYNN MATTMILLER

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005