LATONTRAI E MANGRUEN BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180502

License Status

NOT RENEWED

Business

First Name

LATONTRAI

Middle

Last Name

MANGRUEN BROWN

Business Name

LATONTRAI E MANGRUEN BROWN

Original Issue Date

11/13/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009