MATHEW W LUSK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158977

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

Last Name

LUSK

Business Name

MATHEW W LUSK

Original Issue Date

01/28/2005

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010