DAVID ANTHONY MANJARREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131707

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ANTHONY

Last Name

MANJARREZ

Business Name

DAVID ANTHONY MANJARREZ

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

03/31/2004

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005