MATTHEW WADE CLIFTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156065

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

WADE

Last Name

CLIFTON

Business Name

MATTHEW WADE CLIFTON

Original Issue Date

07/12/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/06/2009