MATTHEW DALE ADAMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104836

License Status

NOT RENEWED

Business

First Name

MATTHEW DALE

Last Name

ADAMS

Business Name

MATTHEW DALE ADAMS

Original Issue Date

10/12/1993

Effective Date

10/12/1993

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005