MATTHEW L VON DEROHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146031

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

VON DEROHE

Business Name

MATTHEW L VON DEROHE

Original Issue Date

11/21/2002

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011