THEODORE W MATTERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138926

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

MATTERA

Business Name

THEODORE W MATTERA

Original Issue Date

10/31/2001

Effective Date

10/31/2001

Expiration Date

03/31/2004

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005