JERONE D MANGUBAT - Pharmacist License in Illinois | # 049178760

JERONE D MANGUBAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178760

License Status

NOT RENEWED

Business

N

First Name

JERONE

Middle

D

Last Name

MANGUBAT

Business Name

JERONE D MANGUBAT

Original Issue Date

08/27/2007

Effective Date

08/27/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008