GENEVA CECILIA MANTILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287800

License Status

NOT RENEWED

Business

First Name

GENEVA

Middle

CECILIA

Last Name

MANTILLA

Business Name

GENEVA CECILIA MANTILLA

Original Issue Date

11/09/2021

Effective Date

11/09/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022