GLAISEN MANTALA - Pharmacist License in Illinois | # 049194497

GLAISEN MANTALA

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194497

License Status

ACTIVE

Business

N

First Name

GLAISEN

Last Name

MANTALA

Prefix

MR

Business Name

GLAISEN MANTALA

Original Issue Date

09/25/2009

Effective Date

03/16/2026

Expiration Date

03/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2026