MELISSA CAROLE MANTIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277292

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

CAROLE

Last Name

MANTIA

Business Name

MELISSA CAROLE MANTIA

Original Issue Date

11/10/2020

Effective Date

11/10/2020

Expiration Date

03/31/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021