MATTHEW JAMES VAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219032

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JAMES

Last Name

VAN

Business Name

MATTHEW JAMES VAN

Original Issue Date

06/27/2013

Effective Date

03/23/2016

Expiration Date

03/31/2017

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2017