DORALY MANCILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167784

License Status

NOT RENEWED

Business

First Name

DORALY

Last Name

MANCILLA

Business Name

DORALY MANCILLA

Original Issue Date

04/13/2006

Effective Date

04/13/2006

Expiration Date

03/31/2007

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007