JESSICA L MANTOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158129

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

MANTOOTH

Business Name

JESSICA L MANTOOTH

Original Issue Date

12/06/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007