MICHAEL L MATUCIANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133992

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MATUCIANA

Business Name

MICHAEL L MATUCIANA

Original Issue Date

12/12/2000

Effective Date

12/12/2000

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005