ESMERALDA MATA - Pharmacist License in Illinois | # 049294673

ESMERALDA MATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294673

License Status

NOT RENEWED

Business

N

First Name

ESMERALDA

Last Name

MATA

Business Name

ESMERALDA MATA

Original Issue Date

08/04/2022

Effective Date

08/04/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023