LILIANA MANCHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278663

License Status

NOT RENEWED

Business

First Name

LILIANA

Last Name

MANCHA

Business Name

LILIANA MANCHA

Original Issue Date

01/14/2021

Effective Date

01/14/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022