MATTHEW J MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114940

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

MAXWELL

Business Name

MATTHEW J MAXWELL

Original Issue Date

08/12/1996

Effective Date

08/12/1996

Expiration Date

03/31/1999

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005