MATTHEW J INCAUDO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155409

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

INCAUDO

Business Name

MATTHEW J INCAUDO

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2005

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/20/2005