MATHEW MCKENZIE BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180265

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

MCKENZIE

Last Name

BERRY

Business Name

MATHEW MCKENZIE BERRY

Original Issue Date

10/30/2007

Effective Date

10/30/2007

Expiration Date

03/31/2008

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008