TAQUILA J MATLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224524

License Status

NOT RENEWED

Business

First Name

TAQUILA

Middle

Last Name

MATLOCK

Prefix

Business Name

TAQUILA J MATLOCK

Original Issue Date

04/14/2014

Effective Date

03/29/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017