ADRIANN M MANGRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220263

License Status

NOT RENEWED

Business

First Name

ADRIANN

Middle

Last Name

MANGRUM

Business Name

ADRIANN M MANGRUM

Original Issue Date

08/23/2013

Effective Date

01/23/2014

Expiration Date

03/31/2015

City

DAKOTA

State

Zip

61018

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2015