MATT HEYEN KONIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131309

License Status

NOT RENEWED

Business

First Name

MATT

Middle

HEYEN

Last Name

KONIAK

Business Name

MATT HEYEN KONIAK

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

03/31/2001

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005