MATT DALE HUDDLESTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134600

License Status

NOT RENEWED

Business

First Name

MATT

Middle

DALE

Last Name

HUDDLESTON

Business Name

MATT DALE HUDDLESTON

Original Issue Date

02/21/2001

Effective Date

02/21/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005