MARK ALAN MANTEI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078854

License Status

NOT RENEWED

Business

First Name

MARK ALAN

Last Name

MANTEI

Business Name

MARK ALAN MANTEI

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005