STORM DADE-MATLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240607

License Status

NOT RENEWED

Business

First Name

STORM

Last Name

DADE-MATLOCK

Prefix

Business Name

STORM DADE-MATLOCK

Original Issue Date

03/30/2016

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017