MATTHEW R STEGALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088166

License Status

NOT RENEWED

Business

First Name

MATTHEW R

Last Name

STEGALL

Business Name

MATTHEW R STEGALL

Original Issue Date

10/29/1988

Effective Date

10/29/1988

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005