SHAYNE APPLE MATA - Pharmacist License in Illinois | # 049226761

SHAYNE APPLE MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226761

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015