MARIEL INGRID MATUS DE LA PARRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293764

License Status

NOT RENEWED

Business

First Name

MARIEL INGRID

Middle

MATUS

Last Name

DE LA PARRA

Business Name

MARIEL INGRID MATUS DE LA PARRA

Original Issue Date

08/25/2009

Effective Date

08/01/2022

Expiration Date

03/31/2024

City

ST AUGUSTINE

State

Zip

32095

County

PEORIA

Ever Disciplined

LastModifiedDate

03/11/2025