MATTHEW M ERTMOED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156186

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

ERTMOED

Business Name

MATTHEW M ERTMOED

Original Issue Date

07/26/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009