Falen C Mata
ExpiredIllinois license 049238564
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049238564
- Status
- Expired (Not Renewed)
- First issued
- December 30, 2015
- Expired
- March 31, 2016
- License holder
- Falen C Mata
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/30/2015
Contact
Trevor, WI 53179
Wisconsin County