JOSE E MANCERA - Pharmacist License in Illinois | # 049192531

JOSE E MANCERA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192531

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

E

Last Name

MANCERA

Business Name

JOSE E MANCERA

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010