KATRINA A MANGRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194449

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

Last Name

MANGRUM

Business Name

KATRINA A MANGRUM

Original Issue Date

09/23/2009

Effective Date

09/23/2009

Expiration Date

03/31/2010

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010