DAWNA LEE MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179511

License Status

NOT RENEWED

Business

First Name

DAWNA

Middle

LEE

Last Name

MATA

Business Name

DAWNA LEE MATA

Original Issue Date

09/27/2007

Effective Date

09/27/2007

Expiration Date

03/31/2008

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008