MABEL MATA - Pharmacist License in Illinois | # 049199340

MABEL MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199340

License Status

NOT RENEWED

Business

N

First Name

MABEL

Last Name

MATA

Business Name

MABEL MATA

Original Issue Date

07/09/2010

Effective Date

06/03/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012