JACOB MULLAMANGALAM - Pharmacist License in Illinois | # 049265977

JACOB MULLAMANGALAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265977

License Status

NOT RENEWED

Business

N

First Name

JACOB

Last Name

MULLAMANGALAM

Business Name

JACOB MULLAMANGALAM

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021