TAMUTH SUE MANSANAREZ - Pharmacist License in Illinois | # 049141549

TAMUTH SUE MANSANAREZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141549

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005