MATTHEW ROBERT KASIAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139402

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

KASIAR

Business Name

MATTHEW ROBERT KASIAR

Original Issue Date

11/28/2001

Effective Date

11/28/2001

Expiration Date

03/31/2003

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005