ANDREA ESPERANZA MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291365

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

ESPERANZA

Last Name

MATA

Business Name

ANDREA ESPERANZA MATA

Original Issue Date

03/14/2022

Effective Date

03/14/2022

Expiration Date

03/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/07/2023