IRENA T MANTULEV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167245

License Status

NOT RENEWED

Business

First Name

IRENA

Middle

Last Name

MANTULEV

Business Name

IRENA T MANTULEV

Original Issue Date

04/04/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009