MARY B MANCILLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200941

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MANCILLAS

Prefix

Business Name

MARY B MANCILLAS

Original Issue Date

10/08/2010

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

LINDENWOOD

State

Zip

61049

County

OGLE

Ever Disciplined

LastModifiedDate

05/07/2012