TRACY MATTISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209116

License Status

NOT RENEWED

Business

First Name

TRACY

Last Name

MATTISON

Prefix

Business Name

TRACY MATTISON

Original Issue Date

02/07/2012

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021