PHILLIP H MATOESIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131564

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

MATOESIAN

Business Name

PHILLIP H MATOESIAN

Original Issue Date

07/12/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007