MABEL MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199340

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012