JAMES WESLY MANGIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265890

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

WESLY

Last Name

MANGIS

Business Name

JAMES WESLY MANGIS

Original Issue Date

06/06/2019

Effective Date

02/05/2020

Expiration Date

03/31/2021

City

PETERSBURG

State

Zip

62675

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021