DAVE LEONG MANGUERRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161379

License Status

NOT RENEWED

Business

First Name

DAVE

Middle

LEONG

Last Name

MANGUERRA

Business Name

DAVE LEONG MANGUERRA

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

03/31/2006

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006