ANDREW HOLLIS MANSFIELD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116995

License Status

INACTIVE

Business

First Name

ANDREW

Middle

HOLLIS

Last Name

MANSFIELD

Business Name

ANDREW HOLLIS MANSFIELD

Original Issue Date

04/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/06/2009