MATTHEW R BIRNBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115756

License Status

NOT RENEWED

Business

First Name

MATTHEW R

Last Name

BIRNBAUM

Business Name

MATTHEW R BIRNBAUM

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005