Pharmacist
PHARMACY TECHNICIAN
049077492
NOT RENEWED
N
PAULA K
MANGES
PAULA K MANGES
11/30/1982
03/31/1984
WOODRIDGE
IL
60517
DUPAGE
Y
10/17/2005
1988000865
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.