MANDY JENE SHORT - Pharmacist License in Illinois | # 049142059

MANDY JENE SHORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142059

License Status

NOT RENEWED

Business

N

First Name

MANDY

Middle

JENE

Last Name

SHORT

Business Name

MANDY JENE SHORT

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006