ANDRES RODRIGO MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268274

License Status

NOT RENEWED

Business

First Name

ANDRES

Middle

RODRIGO

Last Name

MATA

Business Name

ANDRES RODRIGO MATA

Original Issue Date

10/04/2019

Effective Date

02/18/2021

Expiration Date

05/31/2022

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022