JASON RYAN MANTEL - Pharmacist License in Indiana | # 049204063

JASON RYAN MANTEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204063

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

RYAN

Last Name

MANTEL

Business Name

JASON RYAN MANTEL

Original Issue Date

05/10/2011

Effective Date

05/10/2011

Expiration Date

03/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

05/07/2012