DAVE LEONG MANGUERRA - Pharmacist License in Illinois | # 049161379

DAVE LEONG MANGUERRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161379

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006