MATTHEW T DETLAFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185075

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

DETLAFF

Business Name

MATTHEW T DETLAFF

Original Issue Date

06/19/2008

Effective Date

06/19/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009