GABRIELA EMELY MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275958

License Status

NOT RENEWED

Business

First Name

GABRIELA

Middle

EMELY

Last Name

MATA

Business Name

GABRIELA EMELY MATA

Original Issue Date

09/18/2020

Effective Date

09/18/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60639

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021