LUIS REYES MANDAPAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112608

License Status

NOT RENEWED

Business

First Name

LUIS REYES

Last Name

MANDAPAT

Business Name

LUIS REYES MANDAPAT

Original Issue Date

11/23/1995

Effective Date

11/23/1995

Expiration Date

03/31/1996

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005