REGINA M MANGUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179242

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

MANGUN

Prefix

Business Name

REGINA M MANGUN

Original Issue Date

09/16/2007

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013