CAROLYN MARIE MATIYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127434

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

MARIE

Last Name

MATIYA

Business Name

CAROLYN MARIE MATIYA

Original Issue Date

09/15/1999

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010