MATTHEW P SHUTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213652

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

SHUTT

Prefix

Business Name

MATTHEW P SHUTT

Original Issue Date

09/22/2012

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015