MATEO TOLE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157060

License Status

NOT RENEWED

Business

Title

First Name

MATEO

Last Name

TOLE

Business Name

MATEO TOLE MD

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

03/31/2005

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005