FRED A MATSUMOTO - Pharmacist License in Illinois | # 049172807

FRED A MATSUMOTO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172807

License Status

NOT RENEWED

Business

N

First Name

FRED

Middle

A

Last Name

MATSUMOTO

Business Name

FRED A MATSUMOTO

Original Issue Date

11/27/2006

Effective Date

11/27/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007