TISHA MATSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158955

License Status

NOT RENEWED

Business

First Name

TISHA

Last Name

MATSON

Business Name

TISHA MATSON

Original Issue Date

01/28/2005

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021