BRIAN W MATULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108470

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

MATULA

Business Name

BRIAN W MATULA

Original Issue Date

10/17/1994

Effective Date

10/17/1994

Expiration Date

03/31/1995

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005