JOHN J MANDALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070145

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

MANDALA

Business Name

JOHN J MANDALA

Original Issue Date

09/29/1978

Effective Date

09/29/1978

Expiration Date

03/31/1984

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005