DANIELLE N MANGRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196910

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

MANGRUM

Prefix

Business Name

DANIELLE N MANGRUM

Original Issue Date

02/22/2010

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015