MATTHEW BACKSTROM - Pharmacist License in Illinois | # 049209320

MATTHEW BACKSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209320

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Last Name

BACKSTROM

Prefix

MR

Business Name

MATTHEW BACKSTROM

Original Issue Date

02/22/2012

Effective Date

02/22/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013