MICHAEL J MANATA - Pharmacist License in Wisconsin | # 049152745

MICHAEL J MANATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152745

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

J

Last Name

MANATA

Business Name

MICHAEL J MANATA

Original Issue Date

12/31/2003

Effective Date

12/31/2003

Expiration Date

03/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/20/2005