MATTHEW JOHN FISCELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220556

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JOHN

Last Name

FISCELLA

Business Name

MATTHEW JOHN FISCELLA

Original Issue Date

09/04/2013

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

MOLINE

State

Zip

61265

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019