MATTISON J BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253504

License Status

NOT RENEWED

Business

First Name

MATTISON

Middle

Last Name

BROWN

Business Name

MATTISON J BROWN

Original Issue Date

10/03/2017

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022