ANA K MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188278

License Status

NOT RENEWED

Business

First Name

ANA

Middle

Last Name

MATA

Business Name

ANA K MATA

Original Issue Date

11/17/2008

Effective Date

11/17/2008

Expiration Date

03/31/2009

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009