MATTHEW MICHEAL THERRIAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143407

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

MICHEAL

Last Name

THERRIAULT

Business Name

MATTHEW MICHEAL THERRIAULT

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

03/31/2004

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005