JESSICA R MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222319

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

MATA

Business Name

JESSICA R MATA

Original Issue Date

12/02/2013

Effective Date

02/28/2018

Expiration Date

03/31/2019

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019