DAVID MANGIS BOZARTH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061469

License Status

CANCELLED

Business

First Name

DAVID MANGIS

Last Name

BOZARTH

Business Name

DAVID MANGIS BOZARTH

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005