LANIGAIL A MATTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224898

License Status

NOT RENEWED

Business

First Name

LANIGAIL

Middle

Last Name

MATTOS

Business Name

LANIGAIL A MATTOS

Original Issue Date

04/29/2014

Effective Date

01/15/2015

Expiration Date

03/31/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016