PHILLIP C MATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099744

License Status

NOT RENEWED

Business

First Name

PHILLIP C

Last Name

MATT

Business Name

PHILLIP C MATT

Original Issue Date

03/30/1992

Effective Date

03/30/1992

Expiration Date

03/31/1993

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005