DIANA TR MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204915

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MATA

Prefix

Business Name

DIANA TR MATA

Original Issue Date

06/22/2011

Effective Date

02/11/2015

Expiration Date

03/31/2016

City

GARDEN GROVE

State

Zip

92843

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/20/2016