ANITA E MANGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182003

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

MANGUM

Prefix

Business Name

ANITA E MANGUM

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009