MATTHEW AUGUST FREISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143842

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

AUGUST

Last Name

FREISE

Business Name

MATTHEW AUGUST FREISE

Original Issue Date

07/29/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008