THOMAS AUGUSTINE MANGATU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129907

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

AUGUSTINE

Last Name

MANGATU

Business Name

THOMAS AUGUSTINE MANGATU

Original Issue Date

03/10/2000

Effective Date

04/01/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022