MATTHEW BACKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209320

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

BACKSTROM

Prefix

Business Name

MATTHEW BACKSTROM

Original Issue Date

02/22/2012

Effective Date

02/22/2012

Expiration Date

03/31/2013

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2013