CARLOS MATADAMA - Pharmacist License in Illinois | # 049204578

CARLOS MATADAMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204578

License Status

NOT RENEWED

Business

N

First Name

CARLOS

Last Name

MATADAMA

Prefix

MR

Business Name

CARLOS MATADAMA

Original Issue Date

06/02/2011

Effective Date

06/02/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012