ERIC L MATTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222103

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

MATTSON

Business Name

ERIC L MATTSON

Original Issue Date

11/20/2013

Effective Date

01/26/2015

Expiration Date

03/31/2016

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/20/2016