JED MARWIN MANDAYO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206484

License Status

INACTIVE

Business

First Name

JED

Middle

MARWIN

Last Name

MANDAYO

Business Name

JED MARWIN MANDAYO

Original Issue Date

09/06/2011

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014