DEBORAH L MATTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180831

License Status

NOT RENEWED

Business

First Name

DEBORAH L

Last Name

MATTSON

Business Name

DEBORAH L MATTSON

Original Issue Date

11/30/2007

Effective Date

11/30/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008