ANITA E MANGUM - Pharmacist License in Illinois | # 049182003

ANITA E MANGUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182003

License Status

NOT RENEWED

Business

N

First Name

ANITA

Middle

E

Last Name

MANGUM

Prefix

MR

Business Name

ANITA E MANGUM

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009