JONATHAN A MATA - Pharmacist License in Illinois | # 049150238

JONATHAN A MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150238

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

A

Last Name

MATA

Business Name

JONATHAN A MATA

Original Issue Date

08/22/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008