RICK J MANABAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156504

License Status

NOT RENEWED

Business

First Name

RICK

Middle

Last Name

MANABAT

Business Name

RICK J MANABAT

Original Issue Date

08/11/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

COLORADO SPRINGS

State

Zip

80923

Ever Disciplined

LastModifiedDate

05/14/2007