MARY ELLEN MANGRUEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124730

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELLEN

Last Name

MANGRUEM

Business Name

MARY ELLEN MANGRUEM

Original Issue Date

02/18/1999

Effective Date

02/18/1999

Expiration Date

03/31/2000

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005