AUDREY R MANGUM - Pharmacist License in Illinois | # 049222843

AUDREY R MANGUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222843

License Status

NOT RENEWED

Business

N

First Name

AUDREY

Middle

R

Last Name

MANGUM

Prefix

MR

Business Name

AUDREY R MANGUM

Original Issue Date

01/10/2014

Effective Date

08/05/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022