MARTIN D MANICKATH - Pharmacist License in Illinois | # 049110087

MARTIN D MANICKATH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110087

License Status

NOT RENEWED

Business

N

First Name

MARTIN D

Last Name

MANICKATH

Business Name

MARTIN D MANICKATH

Original Issue Date

04/05/1995

Effective Date

04/05/1995

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005