LUIS FERNANDO MANDUJANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241015

License Status

NOT RENEWED

Business

First Name

LUIS

Middle

FERNANDO

Last Name

MANDUJANO

Business Name

LUIS FERNANDO MANDUJANO

Original Issue Date

04/13/2016

Effective Date

04/13/2016

Expiration Date

03/31/2017

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017