MATTHEW J FIVASH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022632

License Status

INACTIVE

Business

First Name

MATTHEW J

Last Name

FIVASH

Business Name

MATTHEW J FIVASH

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

BERRIEN SPRINGS

State

Zip

49103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005