MATTHEW CALEB QUAYLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128612

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

CALEB

Last Name

QUAYLE

Business Name

MATTHEW CALEB QUAYLE

Original Issue Date

12/15/1999

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019