MATTHEW WILLIAM ENTWISTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148945

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

WILLIAM

Last Name

ENTWISTLE

Business Name

MATTHEW WILLIAM ENTWISTLE

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

03/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005