WADE MATTHEW STARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212224

License Status

NOT RENEWED

Business

First Name

WADE

Middle

MATTHEW

Last Name

STARK

Business Name

WADE MATTHEW STARK

Original Issue Date

07/17/2012

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

05/11/2015