MATTHEW THOMAS BRINK DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172384

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

BRINK

Business Name

MATTHEW THOMAS BRINK DO

Original Issue Date

11/08/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/02/2008