MATTHEW WILLIAM PRUITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255553

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

WILLIAM

Last Name

PRUITT

Business Name

MATTHEW WILLIAM PRUITT

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019