LAURA J MANCILLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083601

License Status

NOT RENEWED

Business

First Name

LAURA J

Last Name

MANCILLAS

Business Name

LAURA J MANCILLAS

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

03/31/1988

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005