DALE MANDRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164228

License Status

NOT RENEWED

Business

First Name

DALE

Last Name

MANDRELL

Business Name

DALE MANDRELL

Original Issue Date

09/28/2005

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011