GRANT L MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300905

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

Last Name

MATHIS

Business Name

GRANT L MATHIS

Original Issue Date

10/27/2017

Effective Date

01/10/2020

Expiration Date

07/31/2022

City

BENTON

State

Zip

42025

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/14/2022