CLINTON D MANSHOLT - Pharmacist License in Illinois | # 049209138

CLINTON D MANSHOLT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209138

License Status

NOT RENEWED

Business

N

First Name

CLINTON

Middle

D

Last Name

MANSHOLT

Business Name

CLINTON D MANSHOLT

Original Issue Date

02/09/2012

Effective Date

04/01/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021