GEORGIA T MANTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120528

License Status

NOT RENEWED

Business

First Name

GEORGIA

Middle

Last Name

MANTIS

Business Name

GEORGIA T MANTIS

Original Issue Date

04/08/1998

Effective Date

04/08/1998

Expiration Date

03/31/1999

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005