TRAIANA M MANGUM - Pharmacist License in Illinois | # 049211455

TRAIANA M MANGUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211455

License Status

NOT RENEWED

Business

N

First Name

TRAIANA

Middle

M

Last Name

MANGUM

Prefix

MR

Business Name

TRAIANA M MANGUM

Original Issue Date

06/01/2012

Effective Date

01/23/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018