SAMUEL COLE MANATA - Pharmacist License in Illinois | # 049282538

SAMUEL COLE MANATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282538

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022