DENA MATAITIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095650

License Status

NOT RENEWED

Business

First Name

DENA

Last Name

MATAITIS

Business Name

DENA MATAITIS

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/31/1995

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005