AUDREY R MANGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222843

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

MANGUM

Prefix

Business Name

AUDREY R MANGUM

Original Issue Date

01/10/2014

Effective Date

08/05/2021

Expiration Date

05/31/2022

City

JOLIET

State

Zip

60431

County

KENDALL

Ever Disciplined

LastModifiedDate

07/27/2022