GARY KENNETH MATTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214208

License Status

NOT RENEWED

Business

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

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/06/2013