REENA C MANTENA - Pharmacist License in Illinois | # 049110649

REENA C MANTENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110649

License Status

NOT RENEWED

Business

N

First Name

REENA

Middle

C

Last Name

MANTENA

Business Name

REENA C MANTENA

Original Issue Date

05/27/1995

Effective Date

05/27/1995

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005