MATTHEW F DERAEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218196

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

DERAEDT

Business Name

MATTHEW F DERAEDT

Original Issue Date

05/27/2013

Effective Date

02/23/2017

Expiration Date

03/31/2018

City

ANCHORAGE

State

Zip

99507

County

ALASKA

Ever Disciplined

LastModifiedDate

06/19/2018