DAWNA LEE MATA - Pharmacist License in Illinois | # 049179511

DAWNA LEE MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179511

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008