NATHAN ALLEN MICHAEL MATTMILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049314086

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

ALLEN MICHAEL

Last Name

MATTMILLER

Business Name

NATHAN ALLEN MICHAEL MATTMILLER

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

03/31/2025

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/08/2025