HEATHER J MATAYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087836

License Status

NOT RENEWED

Business

First Name

HEATHER J

Last Name

MATAYA

Business Name

HEATHER J MATAYA

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

03/31/1990

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005