ANDIA MANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231991

License Status

NOT RENEWED

Business

First Name

ANDIA

Last Name

MANE

Prefix

Business Name

ANDIA MANE

Original Issue Date

03/28/2015

Effective Date

03/23/2016

Expiration Date

03/31/2017

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017