MATTHEW KEVIN MOMISSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240600

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

KEVIN

Last Name

MOMISSEY

Business Name

MATTHEW KEVIN MOMISSEY

Original Issue Date

03/30/2016

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017