DAVID MANGIS BOZARTH - Pharmacist License in Illinois | # 049061469

DAVID MANGIS BOZARTH

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061469

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005