ANDREA NICOLE MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287122

License Status

NOT RENEWED

Business

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

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2025