JERONE D MANGUBAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178760

License Status

NOT RENEWED

Business

First Name

JERONE

Middle

Last Name

MANGUBAT

Business Name

JERONE D MANGUBAT

Original Issue Date

08/27/2007

Effective Date

08/27/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008