WILLIAM MATTHEW BODE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278173

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

MATTHEW

Last Name

BODE

Business Name

WILLIAM MATTHEW BODE

Original Issue Date

12/21/2020

Effective Date

12/21/2020

Expiration Date

03/31/2021

City

MOUND CITY

State

Zip

62963

County

PULASKI

Ever Disciplined

LastModifiedDate

07/20/2021