DORALY MANCILLA - Pharmacist License in Illinois | # 049167784

DORALY MANCILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167784

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007