MATTHEW JOSEPH BRUNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163605

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JOSEPH

Last Name

BRUNER

Business Name

MATTHEW JOSEPH BRUNER

Original Issue Date

09/07/2005

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

MILLBURN

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010