MATAHYA ELIZABETH DOUGHERTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267802

License Status

NOT RENEWED

Business

First Name

MATAHYA

Middle

ELIZABETH

Last Name

DOUGHERTY

Business Name

MATAHYA ELIZABETH DOUGHERTY

Original Issue Date

09/10/2019

Effective Date

03/03/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021