IRENA T MANTULEV - Pharmacist License in Illinois | # 049167245

IRENA T MANTULEV

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167245

License Status

NOT RENEWED

Business

N

First Name

IRENA

Middle

T

Last Name

MANTULEV

Business Name

IRENA T MANTULEV

Original Issue Date

04/04/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009