MANFREDO M MADRIGAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144623

License Status

NOT RENEWED

Business

First Name

MANFREDO

Middle

Last Name

MADRIGAL

Business Name

MANFREDO M MADRIGAL

Original Issue Date

09/13/2002

Effective Date

01/14/2008

Expiration Date

03/31/2009

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2009