MATTHEW RICHARD GOLDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200902

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

RICHARD

Last Name

GOLDMAN

Business Name

MATTHEW RICHARD GOLDMAN

Original Issue Date

10/06/2010

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012