ANA K MATA - Pharmacist License in Illinois | # 049188278

ANA K MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188278

License Status

NOT RENEWED

Business

N

First Name

ANA

Middle

K

Last Name

MATA

Business Name

ANA K MATA

Original Issue Date

11/17/2008

Effective Date

11/17/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009