DORLA G MATHEWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183245

License Status

NOT RENEWED

Business

First Name

DORLA

Middle

Last Name

MATHEWS

Prefix

Business Name

DORLA G MATHEWS

Original Issue Date

04/01/2008

Effective Date

04/01/2008

Expiration Date

03/31/2009

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2009