MYRA J MATHIAS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155385

License Status

INACTIVE

Business

First Name

MYRA J

Last Name

MATHIAS

Business Name

MYRA J MATHIAS

Original Issue Date

06/18/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

OHLMAN

State

Zip

62076

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/10/2008