SAMUEL ANTHONY MATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049306620

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ANTHONY

Last Name

MATA

Business Name

SAMUEL ANTHONY MATA

Original Issue Date

10/12/2023

Effective Date

03/02/2024

Expiration Date

03/31/2025

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025