KIMBERLY A MANTUCCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104261

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

MANTUCCA

Business Name

KIMBERLY A MANTUCCA

Original Issue Date

08/13/1993

Effective Date

08/13/1993

Expiration Date

03/31/1995

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005