MATTHEW EUGENE GOLITKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171411

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

EUGENE

Last Name

GOLITKO

Business Name

MATTHEW EUGENE GOLITKO

Original Issue Date

09/18/2006

Effective Date

09/18/2006

Expiration Date

03/31/2007

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/14/2007