LASHAYLA ANNETTE MANGRUEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254599

License Status

NOT RENEWED

Business

First Name

LASHAYLA

Middle

ANNETTE

Last Name

MANGRUEM

Business Name

LASHAYLA ANNETTE MANGRUEM

Original Issue Date

11/30/2017

Effective Date

02/21/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019