COLLEEN N MANATA - Pharmacist License in Illinois | # 049192563

COLLEEN N MANATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192563

License Status

NOT RENEWED

Business

N

First Name

COLLEEN

Middle

N

Last Name

MANATA

Business Name

COLLEEN N MANATA

Original Issue Date

06/23/2009

Effective Date

04/19/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012