MICHAEL S MAKUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092768

License Status

NOT RENEWED

Business

First Name

MICHAEL S

Last Name

MAKUTA

Business Name

MICHAEL S MAKUTA

Original Issue Date

04/06/1990

Effective Date

04/06/1990

Expiration Date

03/31/1991

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005