JOAN MATA - Pharmacist License in Illinois | # 049057454

JOAN MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057454

License Status

NOT RENEWED

Business

N

First Name

JOAN

Last Name

MATA

Business Name

JOAN MATA

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005