NOLI MILLAR MANTALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167961

License Status

NOT RENEWED

Business

First Name

NOLI

Middle

MILLAR

Last Name

MANTALA

Business Name

NOLI MILLAR MANTALA

Original Issue Date

04/19/2006

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017