CRYSTAL MATA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128556

License Status

ACTIVE

Business

First Name

CRYSTAL

Last Name

MATA

Business Name

CRYSTAL MATA

Original Issue Date

12/13/1999

Effective Date

03/03/2026

Expiration Date

03/31/2027

City

CHICAGO

State

Zip

60623

Ever Disciplined

LastModifiedDate

03/03/2026