MATTHEW TODD WOODRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165219

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

TODD

Last Name

WOODRUM

Business Name

MATTHEW TODD WOODRUM

Original Issue Date

11/28/2005

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/04/2010