MANDY J STORM - Pharmacist License in Illinois | # 049178870

MANDY J STORM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178870

License Status

NOT RENEWED

Business

N

First Name

MANDY

Middle

J

Last Name

STORM

Business Name

MANDY J STORM

Original Issue Date

08/30/2007

Effective Date

08/30/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008