DONNA L MATTAN - Pharmacist License in Illinois | # 049061618

DONNA L MATTAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061618

License Status

NOT RENEWED

Business

N

First Name

DONNA L

Last Name

MATTAN

Business Name

DONNA L MATTAN

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005