ANTHONY ANDREW MANTUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174389

License Status

NOT RENEWED

Business

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

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/02/2008