MATTHEW DAVID SALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135294

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DAVID

Last Name

SALM

Business Name

MATTHEW DAVID SALM

Original Issue Date

03/19/2001

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018