CAROL ANN MANSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208621

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

MANSFIELD

Business Name

CAROL ANN MANSFIELD

Original Issue Date

01/09/2012

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014