JOSE D. AMATA III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115858

License Status

NOT RENEWED

Business

First Name

JOSE D.

Last Name

AMATA III

Business Name

JOSE D. AMATA III

Original Issue Date

11/06/1996

Effective Date

11/06/1996

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005