DANIEL A MATAYA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071292

License Status

CANCELLED

Business

First Name

DANIEL A

Last Name

MATAYA

Business Name

DANIEL A MATAYA

Original Issue Date

06/08/1979

Effective Date

06/08/1979

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005