KELLY JEAN MATTOCKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160396

License Status

INACTIVE

Business

First Name

KELLY

Middle

JEAN

Last Name

MATTOCKS

Business Name

KELLY JEAN MATTOCKS

Original Issue Date

04/20/2005

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/06/2015