DEANNA RUTH MATOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113854

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008