SAVANNA A MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225973

License Status

NOT RENEWED

Business

First Name

SAVANNA

Middle

Last Name

MATA

Business Name

SAVANNA A MATA

Original Issue Date

06/17/2014

Effective Date

06/17/2014

Expiration Date

03/31/2015

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015