TIMOTHY ADAM MANOSACK - Pharmacist License in Illinois | # 049152606

TIMOTHY ADAM MANOSACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152606

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

ADAM

Last Name

MANOSACK

Business Name

TIMOTHY ADAM MANOSACK

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005