MATTHEW EDWARD THARP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144215

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

EDWARD

Last Name

THARP

Business Name

MATTHEW EDWARD THARP

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006