MATT STANSBERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195884

License Status

NOT RENEWED

Business

First Name

MATT

Last Name

STANSBERY

Prefix

Business Name

MATT STANSBERY

Original Issue Date

12/15/2009

Effective Date

01/16/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014