MATTHEW P BOROTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142742

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BOROTA

Business Name

MATTHEW P BOROTA

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005