MATTHEW W NIEHAUS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117732

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

NIEHAUS

Business Name

MATTHEW W NIEHAUS

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005