MATTHEW PAUL MOUSHON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118674

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

PAUL

Last Name

MOUSHON

Business Name

MATTHEW PAUL MOUSHON

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005