MAYASA M ATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248327

License Status

NOT RENEWED

Business

First Name

MAYASA

Middle

Last Name

ATA

Business Name

MAYASA M ATA

Original Issue Date

02/08/2017

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022