SHAYNE APPLE MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226761

License Status

NOT RENEWED

Business

First Name

SHAYNE

Middle

APPLE

Last Name

MATA

Business Name

SHAYNE APPLE MATA

Original Issue Date

07/26/2014

Effective Date

07/26/2014

Expiration Date

03/31/2015

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015