COLLEEN N MANATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192563

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

MANATA

Business Name

COLLEEN N MANATA

Original Issue Date

06/23/2009

Effective Date

04/19/2011

Expiration Date

03/31/2012

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012