CAMILLE ALLENA MATASOVSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250954

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

ALLENA

Last Name

MATASOVSKY

Business Name

CAMILLE ALLENA MATASOVSKY

Original Issue Date

05/31/2017

Effective Date

05/31/2017

Expiration Date

03/31/2018

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018