CARLOS MATADAMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204578

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

MATADAMA

Prefix

Business Name

CARLOS MATADAMA

Original Issue Date

06/02/2011

Effective Date

06/02/2011

Expiration Date

03/31/2012

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012