JENNIFER ANN MANGUIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118161

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

MANGUIN

Business Name

JENNIFER ANN MANGUIN

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

03/31/2001

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005