ERICA M MATLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217749

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

MATLOCK

Business Name

ERICA M MATLOCK

Original Issue Date

05/07/2013

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2015