JACQUELENE ELIZ MATOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269056

License Status

NOT RENEWED

Business

First Name

JACQUELENE

Middle

ELIZ

Last Name

MATOS

Business Name

JACQUELENE ELIZ MATOS

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021