SUSAN M MANGIARACINA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062509

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

MANGIARACINA

Business Name

SUSAN M MANGIARACINA

Original Issue Date

01/01/1997

Effective Date

01/16/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2020