TINA A MANGATU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179079

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

MANGATU

Business Name

TINA A MANGATU

Original Issue Date

09/07/2007

Effective Date

04/12/2012

Expiration Date

03/31/2013

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013