MATT SCOTT ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133202

License Status

NOT RENEWED

Business

First Name

MATT

Middle

SCOTT

Last Name

ANDERSON

Business Name

MATT SCOTT ANDERSON

Original Issue Date

10/17/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/14/2007