JONATHAN A MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150238

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

MATA

Business Name

JONATHAN A MATA

Original Issue Date

08/22/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008