MATILDA BRIELLE CLEVENGER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318527

License Status

ACTIVE

Business

First Name

MATILDA

Middle

BRIELLE

Last Name

CLEVENGER

Business Name

MATILDA BRIELLE CLEVENGER

Original Issue Date

02/18/2025

Effective Date

02/18/2025

Expiration Date

03/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/30/2026