MATTHEW S PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095212

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

PAYNE

Business Name

MATTHEW S PAYNE

Original Issue Date

12/01/1990

Effective Date

12/01/1990

Expiration Date

03/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005