JESSICA L MANTOOTH - Pharmacist License in Illinois | # 049158129

JESSICA L MANTOOTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158129

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

L

Last Name

MANTOOTH

Business Name

JESSICA L MANTOOTH

Original Issue Date

12/06/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007