ANDREA NICOLE MATA - Pharmacist License in Illinois | # 049287122

ANDREA NICOLE MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287122

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

NICOLE

Last Name

MATA

Business Name

ANDREA NICOLE MATA

Original Issue Date

10/28/2021

Effective Date

02/22/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025