JAVIER I MANZANERO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151725

License Status

NOT RENEWED

Business

First Name

JAVIER

Middle

Last Name

MANZANERO

Business Name

JAVIER I MANZANERO

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

03/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005