MATTHEW L BERRY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037143

License Status

INACTIVE

Business

First Name

MATTHEW L

Last Name

BERRY

Business Name

MATTHEW L BERRY

Original Issue Date

09/10/1988

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/04/2020