TAYLOR M MANCUSO - Pharmacist License in Illinois | # 049190431

TAYLOR M MANCUSO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190431

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

M

Last Name

MANCUSO

Business Name

TAYLOR M MANCUSO

Original Issue Date

03/24/2009

Effective Date

02/11/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017