MAYASA M ATA - Pharmacist License in Illinois | # 049248327

MAYASA M ATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248327

License Status

NOT RENEWED

Business

N

First Name

MAYASA

Middle

M

Last Name

ATA

Business Name

MAYASA M ATA

Original Issue Date

02/08/2017

Effective Date

01/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022