STACY E MATHEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176933

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MATHEW

Business Name

STACY E MATHEW

Original Issue Date

06/12/2007

Effective Date

01/26/2010

Expiration Date

03/31/2011

City

ROWLETT

State

Zip

75088

County

TEXAS

Ever Disciplined

LastModifiedDate

05/12/2011