DEANNA RUTH MATOS - Pharmacist License in Illinois | # 049113854

DEANNA RUTH MATOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113854

License Status

NOT RENEWED

Business

N

First Name

DEANNA RUTH

Last Name

MATOS

Business Name

DEANNA RUTH MATOS

Original Issue Date

03/28/1996

Effective Date

04/02/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008