KELLY A MANTECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196107

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MANTECK

Business Name

KELLY A MANTECK

Original Issue Date

01/06/2010

Effective Date

03/10/2015

Expiration Date

03/31/2016

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016