MATTHEW J FIVASH - Pharmacist License in Michigan | # 051022632

MATTHEW J FIVASH

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022632

License Status

INACTIVE

Business

N

First Name

MATTHEW J

Last Name

FIVASH

Business Name

MATTHEW J FIVASH

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

State

MI

Ever Disciplined

N

LastModifiedDate

10/17/2005