CLINTON D MANSHOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209138

License Status

NOT RENEWED

Business

First Name

CLINTON

Middle

Last Name

MANSHOLT

Business Name

CLINTON D MANSHOLT

Original Issue Date

02/09/2012

Effective Date

04/01/2020

Expiration Date

03/31/2021

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/20/2021