MATTHEW C ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124216

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

ANDERSON

Business Name

MATTHEW C ANDERSON

Original Issue Date

12/18/1998

Effective Date

12/18/1998

Expiration Date

03/31/2000

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005