MICHAEL F MAKUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028367

License Status

NOT RENEWED

Business

First Name

MICHAEL F

Last Name

MAKUTA

Business Name

MICHAEL F MAKUTA

Original Issue Date

01/01/1997

Effective Date

03/25/2016

Expiration Date

03/31/2018

City

MT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

06/19/2018