MATT F DZIURDZIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289266

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

DZIURDZIK

Business Name

MATT F DZIURDZIK

Original Issue Date

12/27/2002

Effective Date

10/28/2005

Expiration Date

03/31/2006

City

GLENDIVE

State

Zip

59330

County

MONTANA

Ever Disciplined

LastModifiedDate

05/11/2006