MATTHEW P BOROTA - Pharmacist License in Iowa | # 049142742

MATTHEW P BOROTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142742

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

P

Last Name

BOROTA

Business Name

MATTHEW P BOROTA

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

State

IA

Ever Disciplined

N

LastModifiedDate

10/20/2005