MATTHEW COULTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145756

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

COULTER

Business Name

MATTHEW COULTER

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

03/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005