ANTHONY ANDREW MANTUA - Pharmacist License in Illinois | # 049174389

ANTHONY ANDREW MANTUA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174389

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

ANDREW

Last Name

MANTUA

Business Name

ANTHONY ANDREW MANTUA

Original Issue Date

02/22/2007

Effective Date

02/22/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008