REENA C MANTENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110649

License Status

NOT RENEWED

Business

First Name

REENA

Middle

Last Name

MANTENA

Business Name

REENA C MANTENA

Original Issue Date

05/27/1995

Effective Date

05/27/1995

Expiration Date

03/31/1998

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005