DANIEL J MANGO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144642

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MANGO

Business Name

DANIEL J MANGO

Original Issue Date

09/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007