MATTHEW C NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156497

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

NELSON

Business Name

MATTHEW C NELSON

Original Issue Date

08/10/2004

Effective Date

05/19/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010