MARISOL MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146970

License Status

NOT RENEWED

Business

First Name

MARISOL

Last Name

MATA

Business Name

MARISOL MATA

Original Issue Date

02/11/2003

Effective Date

01/22/2014

Expiration Date

03/31/2015

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015