TRAIANA M MANGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211455

License Status

NOT RENEWED

Business

First Name

TRAIANA

Middle

Last Name

MANGUM

Prefix

Business Name

TRAIANA M MANGUM

Original Issue Date

06/01/2012

Effective Date

01/23/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018