DAVID MATTIUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104931

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

MATTIUZ

Business Name

DAVID MATTIUZ

Original Issue Date

10/20/1993

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010