MATT J VAN NATTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193972

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

VAN NATTA

Business Name

MATT J VAN NATTA

Original Issue Date

09/01/2009

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/12/2011