MICHAEL DAVID MANSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194770

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

MANSFIELD

Business Name

MICHAEL DAVID MANSFIELD

Original Issue Date

10/14/2009

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013