MATTHEW C NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293289

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

NELSON

Business Name

MATTHEW C NELSON

Original Issue Date

05/15/2009

Effective Date

03/05/2010

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012

Case Number

2009002761

Action

Suspension

Discipline Start Date

10/28/2011

Discipline Reason

after violated the terms of a Care, Counseling and Treatment Agreement.