ANTONIO MANCILLA - Pharmacist License in Illinois | # 049283387

ANTONIO MANCILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283387

License Status

NOT RENEWED

Business

N

First Name

ANTONIO

Last Name

MANCILLA

Business Name

ANTONIO MANCILLA

Original Issue Date

06/17/2021

Effective Date

07/13/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025