MATT W MOSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150600

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

MOSSMAN

Business Name

MATT W MOSSMAN

Original Issue Date

09/17/2003

Effective Date

09/17/2003

Expiration Date

03/31/2006

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/20/2007