MICHAEL W MATTOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189705

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MATTOX

Business Name

MICHAEL W MATTOX

Original Issue Date

02/18/2009

Effective Date

01/03/2013

Expiration Date

03/31/2014

City

CLAY CITY

State

Zip

62824

County

CLAY

Ever Disciplined

LastModifiedDate

05/06/2014