MATTHEW J SUPPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225275

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

SUPPLE

Prefix

Business Name

MATTHEW J SUPPLE

Original Issue Date

05/20/2014

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021