MARY K MANTIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098105

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

MANTIA

Business Name

MARY K MANTIA

Original Issue Date

09/19/1991

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007