ANNELIE MATTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191805

License Status

NOT RENEWED

Business

First Name

ANNELIE

Last Name

MATTA

Business Name

ANNELIE MATTA

Original Issue Date

05/20/2009

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021