GARY KENNETH MATTES - Pharmacist License in Illinois | # 049214208

GARY KENNETH MATTES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214208

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

KENNETH

Last Name

MATTES

Business Name

GARY KENNETH MATTES

Original Issue Date

10/23/2012

Effective Date

10/23/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013