ROSE A MANTARING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121677

License Status

NOT RENEWED

Business

First Name

ROSE

Middle

Last Name

MANTARING

Business Name

ROSE A MANTARING

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2001

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005