SAMUEL COLE MANATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282538

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

COLE

Last Name

MANATA

Business Name

SAMUEL COLE MANATA

Original Issue Date

05/24/2021

Effective Date

05/24/2021

Expiration Date

05/31/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022