MIREILLE KISHIKO MANDAMUNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250880

License Status

NOT RENEWED

Business

First Name

MIREILLE

Middle

KISHIKO

Last Name

MANDAMUNA

Business Name

MIREILLE KISHIKO MANDAMUNA

Original Issue Date

05/26/2017

Effective Date

05/26/2017

Expiration Date

03/31/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/19/2018