TAMUTH SUE MANSANAREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141549

License Status

NOT RENEWED

Business

First Name

TAMUTH

Middle

SUE

Last Name

MANSANAREZ

Business Name

TAMUTH SUE MANSANAREZ

Original Issue Date

03/26/2002

Effective Date

03/26/2002

Expiration Date

03/31/2004

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005