MATTHEW DAVID MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184767

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DAVID

Last Name

MATHIS

Business Name

MATTHEW DAVID MATHIS

Original Issue Date

06/06/2008

Effective Date

01/16/2009

Expiration Date

03/31/2010

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/04/2010