KIMBERLY A MANDAT - Pharmacist License in Illinois | # 049150991

KIMBERLY A MANDAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150991

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

A

Last Name

MANDAT

Business Name

KIMBERLY A MANDAT

Original Issue Date

09/25/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008