MATT ANDREW PROSHKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165151

License Status

NOT RENEWED

Business

First Name

MATT

Middle

ANDREW

Last Name

PROSHKA

Business Name

MATT ANDREW PROSHKA

Original Issue Date

11/22/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007