JACQUELENE ELIZ MATOS - Pharmacist License in Illinois | # 049269056

JACQUELENE ELIZ MATOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269056

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021