JOAN MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057454

License Status

NOT RENEWED

Business

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

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005