KATRINA A MANGRUM - Pharmacist License in Illinois | # 049194449

KATRINA A MANGRUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194449

License Status

NOT RENEWED

Business

N

First Name

KATRINA

Middle

A

Last Name

MANGRUM

Business Name

KATRINA A MANGRUM

Original Issue Date

09/23/2009

Effective Date

09/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010