MATTHEW PAUL ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113241

License Status

NOT RENEWED

Business

First Name

MATTHEW PAUL

Last Name

ALLEN

Business Name

MATTHEW PAUL ALLEN

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005