RACHEL L MATTOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154578

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

MATTOX

Business Name

RACHEL L MATTOX

Original Issue Date

05/26/2004

Effective Date

05/26/2004

Expiration Date

03/31/2006

City

CHESAPEAKE

State

Zip

23324

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2007