STEPHANIE L MATTESON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155814

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MATTESON

Business Name

STEPHANIE L MATTESON

Original Issue Date

06/28/2004

Effective Date

06/06/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008