ADRIANN M MANGRUM - Pharmacist License in Illinois | # 049220263

ADRIANN M MANGRUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220263

License Status

NOT RENEWED

Business

N

First Name

ADRIANN

Middle

M

Last Name

MANGRUM

Business Name

ADRIANN M MANGRUM

Original Issue Date

08/23/2013

Effective Date

01/23/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015